Individual
RALPH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
2127 DRYDEN RD, FREEVILLE, NY 13068-9611
(607) 844-9979
(607) 844-9066
Mailing address
PO BOX 640, DRYDEN, NY 13053-0640
(607) 844-9979
(607) 844-9066
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
225765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365795
—
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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