Individual
MR. NESTOR R ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 VAN CORTLANDT PARK S, BRONX, NY 10463-3039
(914) 258-8300
Mailing address
70 PALISADE AVE, YONKERS, NY 10701-3016
(914) 258-8300
(914) 965-5468
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
987892902
NY
Other
Enumeration date
09/03/2015
Last updated
12/29/2015
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