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Individual

MICHAEL OLIVER ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP IN PSYCHIATRY

Contact information

Practice address
713 HARRISON ST, SYRACUSE, NY 13210-2305
(315) 464-3165
Mailing address
3789 RIVERS POINTE WAY APT 14, LIVERPOOL, NY 13090-4939
(917) 667-9465

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404282
NY

Other

Enumeration date
08/02/2022
Last updated
08/02/2022
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