Individual
LISA MARIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
371 STOCKHOLM ST, BROOKLYN, NY 11237-4194
(718) 963-7272
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383882
NY
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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