Healthcare Provider Details

I. General information

NPI: 1285567180
Provider Name (Legal Business Name): ESPERENZA ESTEFANIE ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 N PLANK RD
NEWBURGH NY
12550-1790
US

IV. Provider business mailing address

23 QUAKER HILL RD
MONROE NY
10950-1516
US

V. Phone/Fax

Practice location:
  • Phone: 845-863-5208
  • Fax:
Mailing address:
  • Phone: 845-537-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26543842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: