Individual provider · Type 1 NPI

Jenny Marie Portuallo

Specialist · Smithtown, NY

NPI number 1184266256 Active

Practice location

1 Oakside Rd
Smithtown, NY 11787-1555

Call (631) 672-4185 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184266256

Jenny Marie Portuallo's National Provider Identifier is 1184266256, issued on Oct 10, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on Oct 10, 2019.