Individual provider · Type 1 NPI

Beverly Hannah Ortiz, MD, F.A.C.O.G.

Specialist · Riverhead, NY

NPI number 1639110802 Active

Practice location

20 Riverleigh Ave, Suite 2B
Riverhead, NY 11901

Call (631) 298-4655 Map

Fax (631) 298-7569

Mailing address

PO Box 2407
Riverhead, NY 11901

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician 207VX0201XME85320 (FL)
Specialist Primary 174400000X199062 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639110802

Beverly Hannah Ortiz, MD, F.A.C.O.G.'s National Provider Identifier is 1639110802, issued on Jun 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverhead, NY. The record was last updated on Oct 26, 2021.