Individual
MARTIN M ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASAC
Contact information
Practice address
707 FRANKLIN AVE, BROOKLYN, NY 11238-4202
(718) 230-8600
(718) 228-2013
Mailing address
707 FRANKLIN AVE, BROOKLYN, NY 11238-4202
(718) 230-8600
(718) 228-2013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24908
NY
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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