Most Relevant Information
Provider Data
| NPI Number: | 1003420530 |
| Provider Name: | HAZEL BORREGO ORDANEZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 077500 |
Most Important Dates
| Enumeration Date: | 09/02/2020 |
| Last Updated: | 09/02/2020 |
Provider Practice Location
545 E 142ND ST
BRONX
NY
104542110
Practice Location Phone/Fax
| Phone: | 7185754000 |
| Fax: |
Provider Mailing Location
943 WILLOUGHBY AVE
BROOKLYN
NY
112212619
Provider Mailing Phone/Fax
| Phone: | 6462343916 |
| Fax: |