Individual
CLAUDINE N PORTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2520 30TH AVE FL 4, ASTORIA, NY 11102-2448
(718) 808-7777
Mailing address
2520 30TH AVE FL 4, ASTORIA, NY 11102-2448
(718) 808-7777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
243101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02889747
—
NY
Enumeration date
06/05/2007
Last updated
02/21/2020
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