Individual provider · Type 1 NPI
Jacqueline R. Porter, DPM
Primary Podiatric Medicine Podiatrist · New York, NY
NPI number
1407943376
Active
Practice location
470 Lenox Avenue, 1G
New York, NY 10037
Fax (212) 281-2265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N0036001 (NY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
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About NPI 1407943376
Jacqueline R. Porter, DPM's National Provider Identifier is 1407943376, issued on Oct 10, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.