Individual
AMY MEGAN JUAREZ-PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 BI COUNTY BLVD STE 450, FARMINGDALE, NY 11735-3995
(718) 264-1640
Mailing address
47 COOPER LN, LEVITTOWN, NY 11756-4808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015111
NY
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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