JENNIFER PORTAL

PATCHOGUE, NY
NPI1457247264
Former NameJENNIFER BERRIOS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  357413)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  785981)
Enumeration Date2025-06-17
Last Update Date2025-07-24
Business Address
JENNIFER PORTAL FNP
155 E WOODSIDE AVE
PATCHOGUE, NY 11772-1421
Phone number: 631-758-6565
Mailing Address
JENNIFER PORTAL FNP
44 PENNSYLVANIA AVE
MEDFORD, NY 11763-3718
Phone number: 631-804-1955