Individual
MS. ANTONIA FRANCESCA PORCO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCS C AS AC
Contact information
Practice address
256 MAIN STREET, NORTHPORT, NY 11768
(631) 431-1449
(631) 979-6067
Mailing address
43 HAWTHORNE ROAD, KINGS PARK, NY 11754
(631) 431-1449
(631) 979-6067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6478
NY
1041C0700X
Clinical Social Worker
RO403101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02486744
—
NY
01
—
P3597425
OXFORD
NY
Enumeration date
05/16/2006
Last updated
09/11/2025
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