Individual
CLAUDIA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 GLEN ST, GLEN COVE, NY 11542-2855
(516) 606-8595
Mailing address
70 GLEN ST, GLEN COVE, NY 11542-2855
(516) 606-8595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032332
NY
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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