Individual provider · Type 1 NPI

Kathleen Northrop Porder, MD

Pediatric Adolescent Medicine Physician · Bronx, NY

NPI number 1417030610 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Mailing address

12 W 96th St, Apt. 11B
New York, NY 10025-6509

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X156400 (NY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1417030610

Kathleen Northrop Porder, MD's National Provider Identifier is 1417030610, issued on Oct 23, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.