MEDICARE: ZECIL ADA ORTIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	052659	NY

General Provider Information

NPI Number	:	1881404911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZECIL ADA ORTIZ

Provider Business Mailing Address
First Line	:	2091 NOSTRAND AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2549
Country	:	US
Telephone Number	:	870-713-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	80-46 KEW GARDENS
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415
Country	:	US
Telephone Number	:	718-261-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	07/01/2026

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Directions to “ ZECIL ADA ORTIZ ” Practice Location

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