Portnoy, Rayna F

Portnoy, Rayna F is an individual health care provider with primary practice located at 118 35 Queens Blvd Lower Lobby, Forest Hills NY 11375. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Portnoy, Rayna F can be contacted via phone (718) 544-8686.

Contact Information

Primary practice address
118 35 Queens Blvd Lower Lobby Forest Hills NY 11375
Fax: (718) 793-4366
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0444831 New York

Profile Details

NPI number 1801926696
LBN Legal business name Portnoy, Rayna F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1801926696 NPPES
New York MEDICAID 01426599

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