MARILYN PORTILLO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1417320243

Practice Address

538 BROADHOLLOW ROAD, SUITE 202
Melville, NY 11747

Phone: (631) 385-7780

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1417320243 is the National Provider Identifier for MARILYN PORTILLO, a Student in an Organized Health Care Education/Training Program provider located in Melville, NY. This NPI was enumerated on November 2, 2015.
MARILYN PORTILLO practices at 538 BROADHOLLOW ROAD, SUITE 202, Melville, NY 11747.

Quick Facts

NPI
1417320243
Type
Individual
Enumerated
Nov 2, 2015
Last Updated
Nov 2, 2015

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