Individual
LARISSA N ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 FERN RD, SYRACUSE, NY 13219-2333
(315) 278-4185
Mailing address
305 FERN RD, SYRACUSE, NY 13219-2333
(315) 278-4185
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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