Individual
MRS. ALVA MARTELL-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FPA
Contact information
Practice address
16-24 UNION STREET, MIDDLETOWN, NY 10940
(845) 281-5575
Mailing address
PO BOX 102, WESTTOWN, NY 10998-0102
(845) 281-5575
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0642
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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