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General NPI Number Information
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NPI Number | 1942137385
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Entity Type | Organization
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Legal Business Name | DANIEL PORTAL MD PLLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1229 BROADWAY STE 103
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City | HEWLETT
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State | NY
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Zip | 11557-2014
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Country | US
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Telephone | 517-461-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 148 HARBORVIEW S
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City | LAWRENCE
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State | NY
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Zip | 11559-1908
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Country | US
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Telephone | 516-461-5900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL PORTAL
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Credential | MD
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Telephone | 516-461-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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