Provider Demographics
NPI:1568805224
Name:PORTION CONTROLLER, INC.
Entity Type:Organization
Organization Name:PORTION CONTROLLER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:ASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-574-4004
Mailing Address - Street 1:PO BOX 1516
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-8594
Mailing Address - Country:US
Mailing Address - Phone:631-574-4004
Mailing Address - Fax:
Practice Address - Street 1:359 ROUTE 111
Practice Address - Street 2:SUITE 4
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4739
Practice Address - Country:US
Practice Address - Phone:631-574-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175496207RC0000X, 246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty