Individual
MS. MAURA E. PORRICOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 PELHAM PKWY S, ROOM 810, BRONX, NY 10461-1138
(718) 918-4781
Mailing address
1400 PELHAM PKWY S, ROOM 810, BRONX, NY 10461-1138
(718) 918-4781
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02267398
—
NY
Enumeration date
09/16/2008
Last updated
09/16/2008
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