Individual
DAVID PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
118247399
CT
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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