Provider Information for 1548601008
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Mr. CARLOS D. ORTIZ LMHC
Sex: Male
NPI: 1548601008
Last Updated: 2013-07-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1548601008 | ||||||||
| Enumeration Date | 2013-07-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2429 E TREMONT AVE BRONX, NY 10461-2801 United States Phone: 347-305-7200 | Fax:718-518-7647 | ||||||||
| Primary Practice Address | 2429 E TREMONT AVE BRONX, NY 10461-2801 United States Phone: 347-305-7200 | Fax:718-518-7647 | ||||||||
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