Individual
DR. ANTONIO JUAN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
26 COURT ST, SUITE 1711, BROOKLYN, NY 11242-0103
(718) 237-2127
Mailing address
1667 PALMETTO ST, #3R, RIDGEWOOD, NY 11385-2750
(347) 689-9914
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018373
NY
103TC0700X
Clinical Psychologist
PY8293
FL
Other
Enumeration date
04/03/2007
Last updated
04/05/2012
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