National Provider Identifier Database

MARK P ORTIZ, PA-C – NPI #1740796465
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

MARK P ORTIZ, PA-C
800 HOWARD AVE LOWR LEVEL
NEW HAVEN, CT06519-1369
Phone: 203-785-4085
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for MARK P ORTIZ

NPI Number 1740796465
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/18/2017
Last updated 04/19/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 6525
  • NY License #: 021715
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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