Individual
MISS ALLISON MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 332-2022
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(315) 359-2123
(315) 359-2167
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023979
NY
Other
Enumeration date
06/24/2019
Last updated
02/20/2023
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