Ortiz, Taina
Ortiz, Taina is an sole proprietor health care provider with primary practice located at 210 E Main St Ste 106 , Middletown NY 10940-4038. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ortiz, Taina can be contacted via phone (347) 922-4574.Contact Information
Primary practice address
210 E Main St Ste 106
Middletown NY 10940-4038
Phone: (347) 922-4574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019507 | New York |
Profile Details
| NPI number | 1598820771 |
|---|---|
| LBN Legal business name | Ortiz, Taina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Apr 4th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598820771 | NPPES |
| New York | Other | 00355940 | AGENCY MEDICAID # |
| New York | Other | 1285628552 | AGENCY MEDICAID # |
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