Jacqueline Ortiz

NPI #1649165861 in Copiague, New York

Provider Information

NPI Number: 1649165861
Entity Type: Individual
Name: Jacqueline Ortiz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 9, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 110 HAWKINS BLVD
City: Copiague
State: New York
ZIP Code: 11726-4810
Phone: (631) 524-0951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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