Individual
KATIE PORTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 59TH ST, BROOKLYN, NY 11220-3814
(917) 584-9309
Mailing address
428 59TH ST, BROOKLYN, NY 11220-3814
(917) 584-9309
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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