National Provider Identifier
Raisha Massari Ortiz, NP
Raisha Massari Ortiz, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 394-2000.
Profile Overview
- NPI
- 1306429006
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- April 30, 2021
- Last Updated
- December 29, 2022
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 394-2000
Mailing Address
- 2550 E Sherman Hollow RD
- Penn Yan, NY 14527-9306
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1306429006
- Entity Type
- Individual
- Last Name
- Massari Ortiz
- First Name
- Raisha
- Credential
- NP
- Mailing Street Address
- 2550 E Sherman Hollow RD
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-9306
- Mailing Country
- US
- Mailing Phone
- (787) 479-0788
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 394-2000
- Enumeration Date
- April 30, 2021
- Last Updated
- December 29, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)