Individual
CARMEN PILAR ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 STILLMAN RD, GLEN COVE, NY 11542-4031
(516) 669-7815
Mailing address
34 STILLMAN RD, GLEN COVE, NY 11542-4031
(516) 669-7815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257783
NY
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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