Individual
MR. KEVIN SCOTT PORTNOY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17113 NORTHERN BLVD, FLUSHING, NY 11358-2718
(718) 445-1451
(718) 445-1457
Mailing address
17113 NORTHERN BLVD, FLUSHING, NY 11358-2718
(718) 445-1451
(718) 445-1457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006646
NY
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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