Portelli, John

Portelli, John is an individual health care provider with primary practice located at 1 Columbia St Suite 200, Poughkeepsie NY 12601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Portelli, John can be contacted via phone (845) 473-1188.

Contact Information

Primary practice address
1 Columbia St Suite 200 Poughkeepsie NY 12601
Phone: (845) 473-1188
Fax: (845) 473-0896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 202710 New York
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 202710 New York

Profile Details

NPI number 1710950779
LBN Legal business name Portelli, John
Credentials MD FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 7th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710950779 NPPES
New York MEDICAID 01661509

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