Individual
MRS. ELIZABETH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LAKE AVE, STATEN ISLAND, NY 10303-2629
(718) 816-3475
Mailing address
72 PLEASANT VALLEY AVE, STATEN ISLAND, NY 10304-1724
(718) 816-1132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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