Jeremy Peter Ortman | New York, NY • PECOS Search

Jeremy Peter Ortman

Counselor

Behavioral Health & Social Service Providers

49 W 24th St, Suite 1002, New York, NY 10010-3206

PECOS Enrollment

Based on the most recent information from CMS, provider Jeremy Peter Ortman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1730483934
Provider Type
Individual
Full Name
Ortman, Jeremy Peter
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/3/2011
Last Updated
3/2/2015

Contact Information

Practice Location

49 W 24th St, Suite 1002, New York, NY 10010-3206

Unlisted Fax

Mailing Location

378 Baltic St, Apt 5b, Brooklyn, NY 11201-6593

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0046113-1 New York