National Provider Identifier
Bruce Stephen Portner, M.D.
Bruce Stephen Portner, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (516) 729-2326.
Profile Overview
- NPI
- 1710993373
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- August 01, 2006
- Last Updated
- January 25, 2021
Practice Location
- 1160 Chili Avenue
- Rochester, NY 14624
Phone: (516) 729-2326
Mailing Address
- 6 Maryanne Ct
- Huntington, NY 11743
Specialties
- Internal Medicine Physician (207R00000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1710993373
- Entity Type
- Individual
- Last Name
- Portner
- First Name
- Bruce
- Middle Name
- Stephen
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 6 Maryanne Ct
- Mailing City
- Huntington
- Mailing State
- NY
- Mailing ZIP Code
- 11743
- Mailing Country
- US
- Mailing Phone
- (516) 729-2326
- Mailing Fax
- (516) 922-0602
- Practice Street Address
- 1160 Chili Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624
- Practice Country
- US
- Practice Phone
- (516) 729-2326
- Practice Fax
- (516) 922-0602
- Enumeration Date
- August 01, 2006
- Last Updated
- January 25, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 68502 (NC), P00717620 (NC, Rr Medicare)