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1174060560
JOSE ORTIZ
JACKSON HEIGHTS, NY
NPI
1174060560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19107)
Enumeration Date
2017-01-24
Last Update Date
2017-01-24
Business Address
-- JOSE ORTIZ CASAC
3720 74TH ST 3FL
JACKSON HEIGHTS, NY 11372-6338
Phone number: 718-426-6222
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Mailing Address
-- JOSE ORTIZ CASAC
3720 74TH ST 3FL
JACKSON HEIGHTS, NY 11372-6338
Phone number: 718-426-6222
Copy
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