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Katie Portelli

Day Training, Developmentally Disabled Services in Brooklyn, NY. Individual provider (NPI-1).

NPI number1164106944
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1164106944
Entity type
Individual (NPI-1)
Name
Katie Portelli
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 13, 2023
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

428 59th St
Brooklyn, NY 11220-3814

Phone 917-584-9309

Mailing address

428 59th St
Brooklyn, NY 11220-3814

Phone 917-584-9309

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