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1538569405
TATIANA PORTELA
GREAT NECK, NY
NPI
1538569405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 307045)
Enumeration Date
2014-08-28
Last Update Date
2019-03-20
Business Address
Ms. TATIANA PORTELA NP
560 NORTHERN BLVD STE 203
GREAT NECK, NY 11021-5113
Phone number: 718-564-0684
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Mailing Address
Ms. TATIANA PORTELA NP
560 NORTHERN BLVD STE 203
GREAT NECK, NY 11021-5113
Phone number: 516-482-0600
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