Healthcare Provider Details

I. General information

NPI: 1194662742
Provider Name (Legal Business Name): DR. MARIA ALTAGRACIA ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 PROSPECT AVE
SYRACUSE NY
13203-1899
US

IV. Provider business mailing address

2233 TULLY FARMS RD
TULLY NY
13159-9716
US

V. Phone/Fax

Practice location:
  • Phone: 646-344-0650
  • Fax:
Mailing address:
  • Phone: 646-344-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: