Provider Demographics
NPI:1447513973
Name:ORTEGA, MARIA ISABEL (MS SP ED)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BLAIR AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY - NEW YORK
Mailing Address - Zip Code:10465
Mailing Address - Country:UM
Mailing Address - Phone:718-877-6009
Mailing Address - Fax:718-588-1438
Practice Address - Street 1:2510 WESTCHESTER AVE
Practice Address - Street 2:102
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3512
Practice Address - Country:US
Practice Address - Phone:718-597-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1861802174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist