Provider Demographics
NPI:1275651200
Name:PORTASONIX, INC.
Entity Type:Organization
Organization Name:PORTASONIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-544-6698
Mailing Address - Street 1:7215 139TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2321
Mailing Address - Country:US
Mailing Address - Phone:718-544-6698
Mailing Address - Fax:888-475-3037
Practice Address - Street 1:7215 139TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2321
Practice Address - Country:US
Practice Address - Phone:718-544-6698
Practice Address - Fax:888-475-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA395030OtherOXFORD PROVIDER ID