Individual provider · Type 1 NPI

Daniel Portal, MD

Diagnostic Radiology Physician · Lawrence, NY

NPI number 1104358480 Active

Practice location

148 Harborview S
Lawrence, NY 11559-1908

Other practice locations

  • 8700 Sudley Rd, Manassas, VA 20110-4418 · (703) 369-8073

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X25MA12114300 (NJ)
Diagnostic Radiology Physician 2085R0202X0101283774 (VA)
Diagnostic Radiology Physician 2085R0202XME160028 (FL)
Diagnostic Radiology Physician Primary 2085R0202X294937 (NY)
Vascular & Interventional Radiology Physician 2085R0204X294937 (NY)
Diagnostic Radiology Physician 2085R0202XMD263650 (HI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104358480

Daniel Portal, MD's National Provider Identifier is 1104358480, issued on Mar 28, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lawrence, NY. The record was last updated on Oct 18, 2026.