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1023629748
SHELLSEA PORTILLO CANALES
BRONX, NY
NPI
1023629748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
Dr. SHELLSEA PORTILLO CANALES MD
4222 3RD AVE
BRONX, NY 10457-4502
Phone number: 718-960-9000
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Mailing Address
Dr. SHELLSEA PORTILLO CANALES MD
2505 LORILLARD PL APT 4A
BRONX, NY 10458-5934
Phone number: 929-523-3782
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