Individual
LISA ANN ORTENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
20 E 46TH ST, PENTHOUSE, NEW YORK, NY 10017-2417
(212) 353-0030
(212) 353-0083
Mailing address
20 E 46TH ST, PENTHOUSE, NEW YORK, NY 10017-2417
(212) 353-0030
(212) 353-0083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27AO00548000
NJ
Other
Enumeration date
08/03/2005
Last updated
12/14/2016
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