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NPI Code Detail

MEDICARE: DAVID ALAN BORTEL

MEDICARE:   DAVID ALAN BORTEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseN25139NY
2163W00000XRegistered NurseRN557755PA

General Provider Information

NPI Number : 1164734810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALAN BORTEL
Provider Business Mailing Address
First Line : 1201 GRAMPIAN BLVD
Second Line : PO BOX 3127
City : WILLIAMSPORT
State : PA
Zip : 17701-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-1834
Country : US
Telephone Number : 315-464-4720
Fax Number : 315-464-4905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2010
Last Update Date : 01/30/2026

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Directions to “ DAVID ALAN BORTEL ” Practice Location

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