Individual
BIANCA ELIZABETH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6091
Mailing address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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