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Organization

DANIEL PORTAL MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL PORTAL MD (OWNER)
(516) 461-5900
Entity
Organization

Contact information

Practice address
1229 BROADWAY STE 103, HEWLETT, NY 11557-2014
(517) 461-5900
Mailing address
148 HARBORVIEW S, LAWRENCE, NY 11559-1908
(516) 461-5900

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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