Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Tamara Portuondo-Smith, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1730400482

Alicia Tamara Portuondo-Smith, NURSEPRACTITIONER is a Registered Nurse in Glen Head, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

189 Wheatley Rd
Glen Head, NY 11545-2641
Phone: (516) 686-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F402195-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 590004 (NY)

Record details

NPI number1730400482
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESDecember 19, 2018

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