Portelli, Paula

Portelli, Paula is an sole proprietor health care provider with primary practice located at 1910 South Rd , Poughkeepsie NY 12601-6027. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Portelli, Paula can be contacted via phone (845) 454-0120.

Contact Information

Primary practice address
1910 South Rd Poughkeepsie NY 12601-6027
Phone: (845) 454-0120
Fax: (845) 686-9016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F430467 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F430467 New York

Profile Details

NPI number 1962630657
LBN Legal business name Portelli, Paula
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2009
Last updated Apr 21st, 2017 - about 8 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 1962630657 NPPES
New York MEDICAID 03196792

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