Portuondo-Smith, Alicia Tamara

Portuondo-Smith, Alicia Tamara is an individual health care provider with primary practice located at 189 Wheatley Rd , Glen Head NY 11545-2641. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Portuondo-Smith, Alicia Tamara can be contacted via phone (516) 686-4400.

Contact Information

Primary practice address
189 Wheatley Rd Glen Head NY 11545-2641
Phone: (516) 686-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 590004 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402195-1 New York

Profile Details

NPI number 1730400482
LBN Legal business name Portuondo-Smith, Alicia Tamara
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Dec 19th, 2018 - about 7 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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