Individual
MRS. JOHANNA MARIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 228-8347
Mailing address
130 SHERMAN ST, BRENTWOOD, NY 11717-2718
(632) 796-3954
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F346690-01
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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