Individual
ANGELA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 EAST AVE, ROCHESTER, NY 14604-2638
(585) 325-5100
Mailing address
1560 NORTON ST, ROCHESTER, NY 14621-4064
(585) 201-0659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073614533
—
NY
Enumeration date
05/22/2014
Last updated
05/22/2014
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