Individual
DR. JEFFREY PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST # M404, NEW YORK, NY 10065-4870
(212) 746-5197
Mailing address
525 E 68TH ST STE M404, NEW YORK, NY 10065-4870
(212) 746-5197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
193397
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
193397
NY
Other
Enumeration date
10/16/2006
Last updated
07/24/2023
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