Ortiz, Jennifer M

Ortiz, Jennifer M is an individual health care provider with primary practice located at 107 W 4Th St , Mount Vernon NY 10550-4002. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ortiz, Jennifer M can be contacted via phone (914) 699-7200.

Contact Information

Primary practice address
107 W 4Th St Mount Vernon NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 055827 New York

Profile Details

NPI number 1538442017
LBN Legal business name Ortiz, Jennifer M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538442017 NPPES
New York MEDICAID 02995513
New York MEDICAID 03406879

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