RAYSA ORTIZ FNP
NPI 1154058956
Nurse Practitioner - Family in Bay Shore, NY
Active since August 02, 2022
About Raysa Ortiz Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAYSA ORTIZ FNP (NPI 1154058956) is an individual family provider in Bay Shore, New York, licensed in New York (349934) and active in the NPI registry since August 2022.
NPPES Registry Identity
NPI1154058956
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAYSA ORTIZCredential: FNP
Location Address1464 5TH AVEBay Shore, NY 11706-4147
Mailing Address111 Preston StBrentwood, NY 11717-7009 · (631) 949-7501
Phone(631) 231-5070
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1154058956 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 349934
1464 5TH AVE, Bay Shore, NY 11706
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pediatrics (Adolescent Medicine)
1464 5TH AVE
BAY SHORE, NY 11706
BAY SHORE, NY 11706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154058956, enumerated as an "individual" on August 02, 2022.
The provider is located at 1464 5TH AVE BAY SHORE, NY 11706 and the phone number is (631) 231-5070.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
