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1164856910
MADELINE ORTIZ
NEW YORK, NY
NPI
1164856910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 016507-1)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
-- MADELINE ORTIZ PA-C
521 W 181ST ST FREEPORT
NEW YORK, NY 10033-5102
Phone number: 347-756-6000
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Mailing Address
-- MADELINE ORTIZ PA-C
124 SMITH ST APT 1E
FREEPORT, NY 11520-4466
Phone number: 516-497-3746
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