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Organization

STANLEY L. PORTNOW, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY LEWIS PORTNOW M.D. (PRESIDENT)
(212) 288-1877
Entity
Organization

Contact information

Practice address
435 E 79TH ST, SUITE 1BC, NEW YORK, NY 10075
(212) 288-1877
Mailing address
435 E. 79TH STREET, SUITE 1 B-C, NEW YORK CITY, NY 10075-1071
(212) 288-1877
(914) 723-6160

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
081538-1
NY
2084P0800X
Psychiatry Physician
081538-1
NY

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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