Provider Demographics
NPI:1124625033
Name:PORTANTE, ARIANA N
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:N
Last Name:PORTANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 NOXON RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3768
Mailing Address - Country:US
Mailing Address - Phone:845-490-3714
Mailing Address - Fax:
Practice Address - Street 1:497 NOXON RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3768
Practice Address - Country:US
Practice Address - Phone:845-490-3714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker