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

Jenny Marie Portuallo

Individual provider Specialist · NPI 1184266256

Jenny Marie Portuallo is a Specialist in Smithtown, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

1 Oakside Rd
Smithtown, NY 11787-1555
Phone: (631) 672-4185
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1184266256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESOctober 10, 2019

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