FABIAN ORTIZ

BRONX, NY
NPI1609511427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  030974)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9115015)
Enumeration Date2022-05-05
Last Update Date2025-05-12
Business Address
FABIAN ORTIZ PA-C
119 E FORDHAM RD
BRONX, NY 10468-5404
Phone number: 718-886-9000
Mailing Address
FABIAN ORTIZ PA-C
4012 80TH ST
ELMHURST, NY 11373-1234
Phone number: 718-886-9000