Individual
FIONA MELISSA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E MAIN ST STE 216, PATCHOGUE, NY 11772-3121
(631) 699-2160
Mailing address
475 E MAIN ST STE 216, PATCHOGUE, NY 11772-3121
(631) 699-2160
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
598756
NY
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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