SHIRA PORTNOY

HEMPSTEAD, NY
NPI1528139458
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010450)
Enumeration Date2006-11-13
Last Update Date2013-12-20
Business Address
-- SHIRA PORTNOY CRPA
135 MAIN ST LONG ISLAND FQHC, INC.
HEMPSTEAD, NY 11550-2414
Phone number: 516-571-8200
Mailing Address
-- SHIRA PORTNOY CRPA
161 HEMPSTEAD TPKE LONG ISLAND FQHC, INC.
ELMONT, NY 11003-1432
Phone number: 516-571-8200
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