Individual
SASHA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 E 29TH ST, PATERSON, NJ 07514-1817
(917) 566-4134
Mailing address
295 E 29TH ST, PATERSON, NJ 07514-1817
(917) 566-4134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00622000
NJ
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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