Individual
DANIEL PORTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 HARBORVIEW S, LAWRENCE, NY 11559-1908
(167) 291-7705
Mailing address
148 HARBORVIEW S, LAWRENCE, NY 11559-1908
(516) 729-1770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101283774
VA
2085R0202X
Diagnostic Radiology Physician
Primary
294937
NY
2085R0202X
Diagnostic Radiology Physician
ME160028
FL
2085R0204X
Vascular & Interventional Radiology Physician
294937
NY
Other
Enumeration date
03/28/2017
Last updated
11/20/2025
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