# DANIEL PORTAL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942137385
- **Authorized official:** DR. DANIEL PORTAL MD (OWNER)
- **Authorized official phone:** (516) 461-5900

## Contact information

- **Practice address:** 1229 BROADWAY STE 103, HEWLETT, NY 11557-2014
- **Practice address phone:** (517) 461-5900
- **Mailing address:** 148 HARBORVIEW S, LAWRENCE, NY 11559-1908
- **Mailing address phone:** (516) 461-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/07/2026