Provider Demographics
NPI:1316361926
Name:ORTIZ, ANA KARINA (LPN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:KARINA
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:KARINA
Other - Last Name:ORTIZ-SADOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:29 MULHOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-2809
Mailing Address - Country:US
Mailing Address - Phone:631-838-0671
Mailing Address - Fax:
Practice Address - Street 1:29 MULHOLLAND DR
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-2809
Practice Address - Country:US
Practice Address - Phone:631-838-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276868-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse