Individual
CHRISTINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
438 SENECA AVE, MOUNT VERNON, NY 10553-1702
(914) 318-8122
Mailing address
438 SENECA AVE, MOUNT VERNON, NY 10553-1702
(914) 318-8122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
395048-1
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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