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Tyler Portelli, LMT
NPI 1992389704 · on the registry since 2021
Practice
- Address
- 700 Union Pkwy
Ronkonkoma, NY 11779 - Phone
- (516) 330-9817
- Organisation at this address
- Pet Drug Store Inc.
Ocean Avenue Chiropractic P.C
Lake Shore Physical Therapy, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-07
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