Portela, Tatiana

Portela, Tatiana is an individual health care provider with primary practice located at 560 Northern Blvd Ste 203 , Great Neck NY 11021-5113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Portela, Tatiana can be contacted via phone (718) 564-0684.

Contact Information

Primary practice address
560 Northern Blvd Ste 203 Great Neck NY 11021-5113
Phone: (718) 564-0684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 307045 New York

Profile Details

NPI number 1538569405
LBN Legal business name Portela, Tatiana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Mar 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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