Individual
ERIC LAWRENCE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
08/02/2023
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