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1457747495
STACI ORTIZ
ASTORIA, NY
NPI
1457747495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: NY 020775-1)
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
-- STACI ORTIZ Ph.D.
2574 46TH ST APT 2
ASTORIA, NY 11103-1107
Phone number: 917-302-5745
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Mailing Address
-- STACI ORTIZ Ph.D.
2574 46TH ST APT 2
ASTORIA, NY 11103-1107
Phone number: 917-302-5745
Copy
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