Ortiz, Doris

Ortiz, Doris is an individual health care provider with primary practice located at 35A Guy Lombardo Ave , Freeport NY 11520-3604. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ortiz, Doris can be contacted via phone (516) 546-6709.

Contact Information

Primary practice address
35A Guy Lombardo Ave Freeport NY 11520-3604
Fax: (516) 546-0189
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042609 New York

Profile Details

NPI number 1972578904
LBN Legal business name Ortiz, Doris
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972578904 NPPES
New York MEDICAID 01177628

Popular Providers