Provider Demographics
NPI: | 1306968771 |
---|---|
Name: | PORTEE, JOANNA (RRT-NPS) |
Entity type: | Individual |
Prefix: | MS |
First Name: | JOANNA |
Middle Name: | |
Last Name: | PORTEE |
Suffix: | |
Gender: | F |
Credentials: | RRT-NPS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 348 SCHENCK AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11207-3708 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-647-3565 |
Mailing Address - Fax: | 718-647-1651 |
Practice Address - Street 1: | 451 CLARKSON AVE |
Practice Address - Street 2: | KINGS COUNTY HOSPITAL CENTER |
Practice Address - City: | BROOKLYN |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11203-2097 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-245-3675 |
Practice Address - Fax: | 718-245-4197 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-04 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 002491-1 | 227900000X, 2279C0205X, 2279P1004X, 2279P3800X, 2279P3900X |
NY | 00249-1 | 2279E0002X, 2279E1000X, 2279G0305X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | |
Not Answered | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care |
Not Answered | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
Not Answered | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational |
Not Answered | 2279G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Geriatric Care |
Not Answered | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics |
Not Answered | 2279P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Palliative/Hospice |
Not Answered | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics |