Provider Demographics
NPI:1720856214
Name:ASCH-ORTIZ, GABRIELA SOFIA (MS, LCAT, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:SOFIA
Last Name:ASCH-ORTIZ
Suffix:
Gender:F
Credentials:MS, LCAT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 SHANNON PL
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2062
Mailing Address - Country:US
Mailing Address - Phone:201-406-2780
Mailing Address - Fax:
Practice Address - Street 1:456 SHANNON PL
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-2062
Practice Address - Country:US
Practice Address - Phone:201-406-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001929225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist