Individual
ADRIANE D ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8020 45TH AVE, ELMHURST, NY 11373-3545
(718) 478-2900
(718) 478-3456
Mailing address
17 VICTOR PL, LAKE GROVE, NY 11755-2032
(516) 476-1195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005204
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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