Individual
ANGELIQUE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
Mailing address
3 WESTCHESTER PARK DR APT 212, WEST HARRISON, NY 10604-3444
(631) 601-6629
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
829877
NY
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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