Individual
MR. JUAN RAMON ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1 GORDON AVE, BRIARCLIFF MANOR, NY 10510-1508
(914) 941-1628
Mailing address
1 GORDON AVE, BRIARCLIFF MANOR, NY 10510-1508
(914) 941-1628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17848
NY
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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