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Jenny Portuallo
NPI 1184266256 · on the registry since 2019
Practice
- Address
- 1 Oakside Rd
Smithtown, NY 11787 - Phone
- (631) 672-4185
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York