Individual
MR. ELIEZER PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
ONE GUSTAVE L LEVY PLACE, NEW YORK, NY 10029-6574
(347) 931-6560
Mailing address
13-22 EASTERN DR, FAIR LAWN, NJ 07410-2303
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307819
NY
Other
Enumeration date
04/26/2016
Last updated
03/31/2017
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