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Individual

DR. JENNINE PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
200 E 33RD ST, SUITE 23J, NEW YORK, NY 10016-4874
(212) 725-0192
(914) 285-5723
Mailing address
200 E 33RD ST, SUITE 23J, NEW YORK, NY 10016-4874
(212) 725-0192
(914) 285-5723

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018923
NY

Other

Enumeration date
08/23/2008
Last updated
01/05/2011
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