Portnoy, Shira

Portnoy, Shira is an individual health care provider with primary practice located at 135 Main St Long Island Fqhc, Inc., Hempstead NY 11550-2414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Portnoy, Shira can be contacted via phone (516) 571-8200.

Contact Information

Primary practice address
135 Main St Long Island Fqhc, Inc. Hempstead NY 11550-2414
Phone: (516) 571-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010450 New York

Profile Details

NPI number 1528139458
LBN Legal business name Portnoy, Shira
Credentials CRPA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 20th, 2013 - about 11 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 1528139458 NPPES
New York Other 010450 LICENSE NUMBER

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