Doctor Name: | ROBERT ORTIZ |
NPI Number: | 1255384418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 212041 |
Business Practice Address: | 29 Church St Highland, NY - 125281401 |
Business Phone Number: | 8456914600 |
Business Fax Number: | 8456915546 |
Mailing Address: | 5 Ridgecrest Dr, WINGDALE |
State: | NY |
Postal Code: | 12594 |
Phone Number: | 8456914600 |
Fax Number: | 8456915546 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 212041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |