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Individual

MRS. ANNY M ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4003 10TH ST APT 2D, LONG ISLAND CITY, NY 11101-6423
(718) 600-7650
Mailing address
4003 10TH ST APT 2D, LONG ISLAND CITY, NY 11101-6423
(718) 600-7650

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025342-01
NY

Other

Enumeration date
01/05/2022
Last updated
01/05/2022
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