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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710950779 | NPPES |
| New York | MEDICAID | 01661509 |
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