Ms Tatiana Portela, NP | |
560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 | |
(718) 564-0684 | |
Not Available |
Full Name | Ms Tatiana Portela |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 560 Northern Blvd Ste 203, Great Neck, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538569405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 307045 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ut Southwestern University Hospital - William P. Clements Jr. | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
---|---|
Ms Tatiana Portela, NP 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 Ph: (516) 482-0600 | Ms Tatiana Portela, NP 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 Ph: (718) 564-0684 |
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