Individual
DR. DAVID PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
113 W 25TH ST, NEW YORK, NY 10001-7243
(212) 675-3900
Mailing address
113 W 25TH ST, NEW YORK, NY 10001-7243
(212) 675-3900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064230
NY
Other
Enumeration date
12/19/2018
Last updated
12/25/2018
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