Ivan Colon Ortiz

NPI #1013546175 in Buffalo, New York

Provider Information

NPI Number: 1013546175
Entity Type: Individual
Name: Ivan Colon Ortiz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 2, 2020
Last Updated: Apr 2, 2020

Practice Location

Address: 951 NIAGARA ST
City: Buffalo
State: New York
ZIP Code: 14213-2116
Phone: (716) 884-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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