Individual
DR. GARY L PORTADIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 LAGUARDIA PL, APT 7B, NEW YORK, NY 10012-2001
(212) 533-4213
Mailing address
505 LAGUARDIA PL, APT 7B, NEW YORK, NY 10012-2001
(212) 533-4213
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
108911
NY
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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