Individual
DR. CECILY PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2001 MARCUS AVE STE E128, NEW HYDE PARK, NY 11042-1000
(516) 390-3525
Mailing address
622 WEST 168TH STREET, NEW YORK, NY 10032-3748
(212) 305-9099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P106133
NY
Other
Enumeration date
07/10/2012
Last updated
10/03/2021
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