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

Daniel Portal, MD

Individual provider Diagnostic Radiology Physician · NPI 1104358480

Daniel Portal, MD is a Diagnostic Radiology in Lawrence, New York. Qualified in 2017, 9 years ago. Practices with Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, New York and Virginia.

Years since qualifying
9
Licensed in
FL, NY, VA
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

148 Harborview S
Lawrence, NY 11559-1908
Phone: (167) 291-7705
Show map & directions

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

Additional practice locations (1)

  • 8700 Sudley Rd, Manassas, VA 20110-4418 — (703) 369-8073

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 294937 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101283774 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME160028 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 294937 (NY)

Record details

NPI number1104358480
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address148 Harborview S, Lawrence, NY 11559-1908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

Other providers in Lawrence