Russell Keith Portenoy
M.D. | Neurology
Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York
New York, 10006
212-649-5560 212-649-5544
Maps & DirectionsRussell Keith Portenoy is a New York, New York based neurologist who is specialized in Neurology. Active license number of Russell Keith Portenoy is 146475 in New York. His current practice location is Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York. Patients can reach him at 212-649-5560 or can fax him at 212-649-5544. Russell Keith Portenoy is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1407837396.
Russell Keith Portenoy 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.
Complete Profile:
Russell Keith Portenoy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Russell Keith Portenoy |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, New York, 10006 |
| Phone: | 212-649-5560 |
| Fax: | 212-649-5544 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407837396 |
| NPI Enumeration Date: | 08 Nov, 2005 |
| NPI Last Update On: | 06 May, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Keith Portenoy are as mentioned below.
| License Number | Specialization | State | Status | |
| 146475 | | New York | Primary | |
| 146475 | Neurology | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Keith Portenoy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00906634 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Russell Keith Portenoy Mjhs Hospice And Palliative Care, 39 Broadway #r Fl New York, New York |
| Zip: | 10006 |
| Phone Number: | 212-649-5560 |
| Fax Number: | 212-649-5544 |
Patients can reach Russell Keith Portenoy at
Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, New York or can
call to book an appointment on 212-649-5560.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.