Individual
NICOLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 250TH ST, BELLEROSE, NY 11426-2619
(347) 229-3460
Mailing address
7607 250TH ST, BELLEROSE, NY 11426-2619
(347) 229-3460
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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