ALEXANDRIA MIA PORTILLA

NEW YORK, NY
NPI1861265548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  F352697-01)
Enumeration Date2023-11-03
Last Update Date2023-11-03
Business Address
ALEXANDRIA MIA PORTILLA FNP
12 E 86TH ST
NEW YORK, NY 10028-0506
Phone number: 212-861-6660
Mailing Address
ALEXANDRIA MIA PORTILLA FNP
16509 MAGOLIA CT
SILVER SPRING, MD 20905
Phone number: 305-479-3928