JENNY MARIE PORTUALLO
NPI 1184266256
Specialist in Smithtown, NY
- Individual
- Female
- Specialist
About JENNY PORTUALLO
This page provides the complete NPI Profile along with additional information for Jenny Portuallo, a provider established in Smithtown, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1184266256 assigned on October 2019. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1184266256 Verify this NPI
- Provider Name
- JENNY MARIE PORTUALLO
- Other Name
- JENNY MARIE MARINO
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 OAKSIDE RD SMITHTOWN, NY 11787
- Location Phone
- (631) 672-4185
- Mailing Address
- 1 OAKSIDE RD SMITHTOWN, NY 11787
- Mailing Phone
- (631) 672-4185
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2019
- Last Update Date
- 10-10-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License State
- NY
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184266256, enumerated as an "individual" on October 10, 2019.
The provider is located at 1 OAKSIDE RD SMITHTOWN, NY 11787 and the phone number is (631) 672-4185.
Specialist with taxonomy code 174400000X.
