MEDICARE: DR. STANLEY LEWIS PORTNOW MD

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
1	2084F0202X	Forensic Psychiatry Physician	0815380	NY
2	2084P0800X	Psychiatry Physician	0815380	NY

General Provider Information

NPI Number	:	1447350707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY LEWIS PORTNOW MD

Provider Business Mailing Address
First Line	:	435 E 79TH ST
Second Line	:	#1 BC
City	:	NYC
State	:	NY
Zip	:	10021-1071
Country	:	US
Telephone Number	:	212-288-1877
Fax Number	:	914-723-6160

Provider Business Practice Location Address
First Line	:	435 E 79TH ST
Second Line	:	#1 BC
City	:	NYC
State	:	NY
Zip	:	10021-1071
Country	:	US
Telephone Number	:	212-288-1877
Fax Number	:	914-723-6160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. STANLEY LEWIS PORTNOW MD” Practice Location

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