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Jenny Marie Portuallo
Specialist in Smithtown, New York
NPI 1184266256

Jenny Marie Portuallo is a Specialist based in Smithtown, NY. Jenny Marie Portuallo practices in Smithtown, NY. The NPI Number for Jenny Marie Portuallo is 1184266256 and holds a License No. (New York).

The current practice location address for Jenny Marie Portuallo is 1 Oakside Rd, Smithtown, NY and can be reached out via phone at 631-672-4185.

Location: 1 Oakside Rd, Smithtown, NY, 11787-1555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184266256
Provider Name
Jenny Marie Portuallo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Oakside Rd, Smithtown, NY, 11787-1555
Phone Number
631-672-4185
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Oakside Rd
City
Smithtown
State
New York
Zip
11787-1555
Phone Number
631-672-4185
Fax Number
person
Provider Business Mailing Address Details
Address
1 Oakside Rd
City
Smithtown
State
New York
Zip
11787-1555
Phone Number
631-672-4185
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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