Individual
GRACE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3257
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3257
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
420125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01745711
—
NY
Enumeration date
05/22/2009
Last updated
05/22/2009
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