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Marilyn Portillo
Student in an Organized Health Care Education/Training Program in Melville, New York
NPI 1417320243

Marilyn Portillo is a Student in an Organized Health Care Education/Training Program based in Brentwood, NY. Marilyn Portillo practices in Melville, NY. The NPI Number for Marilyn Portillo is 1417320243 and holds a License No. (New York).

The current practice location address for Marilyn Portillo is 538 Broadhollow Road, Suite 202, Melville, NY and can be reached out via phone at 631-385-7780.

Location: 538 Broadhollow Road, Suite 202, Melville, NY, 11717-3668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417320243
Provider Name
Marilyn Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
538 Broadhollow Road, Suite 202, Melville, NY, 11717-3668
Phone Number
631-385-7780
Fax Number
Provider Enumeration Date
11/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
538 Broadhollow Road, Suite 202
City
Melville
State
New York
Zip
11747
Phone Number
631-385-7780
Fax Number
person
Provider Business Mailing Address Details
Address
538 Broadhollow Road, Suite 202
City
Melville
State
New York
Zip
11747
Phone Number
631-385-7780
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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