Individual provider · Type 1 NPI

Marilyn Portillo

Student in an Organized Health Care Education/Training Program · Melville, NY

NPI number 1417320243 Active

Practice location

538 Broadhollow Road, Suite 202
Melville, NY 11747

Call (631) 385-7780 Map

Mailing address

215 Clark St.
Brentwood, NY 11717-3668

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417320243

Marilyn Portillo's National Provider Identifier is 1417320243, issued on Nov 2, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Melville, NY. The record was last updated on Nov 2, 2015.