Individual
DR. JOAN KATHERINE PORTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D., M.P.H.
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4170
(212) 938-5819
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4170
(212) 938-5819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2321
FL
152W00000X
Optometrist
Primary
TUV004697
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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