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Individual

ALDO JOSEPH PORCO MD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 LINDA AVE., HAWTHORNE, NY 10532
(914) 248-7474
(914) 248-7298
Mailing address
500 LINDA AVE., HAWTHORNE, NY 10532
(914) 844-7925

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
171558
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171558
NY STATE MEDICAL LICENSE
NY
Enumeration date
11/20/2008
Last updated
08/09/2013
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