Individual
IDALIZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 276-3353
Mailing address
1880 BATHGATE AVE APT 709, BRONX, NY 10457-6266
(646) 276-3353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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