National Provider Identifier
Ivan Colon Ortiz
Ivan Colon Ortiz is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 884-0700.
Profile Overview
- NPI
- 1013546175
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 02, 2020
- Last Updated
- April 02, 2020
Practice Location
- 951 Niagara St
- Buffalo, NY 14213-2116
Phone: (716) 884-0700
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1013546175
- Entity Type
- Individual
- Last Name
- Ortiz
- First Name
- Ivan
- Middle Name
- Colon
- Mailing Street Address
- 951 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2116
- Mailing Country
- US
- Mailing Phone
- (716) 884-0700
- Mailing Fax
- (716) 884-0631
- Practice Street Address
- 951 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2116
- Practice Country
- US
- Practice Phone
- (716) 884-0700
- Practice Fax
- (716) 884-0631
- Enumeration Date
- April 02, 2020
- Last Updated
- April 02, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)