Individual
MR. JAMES W. PORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
114 PITTSBURGH AVENUE, MASSAPEQUA, NY 11758
(516) 993-3797
Mailing address
114 PITTSBURGH AVENUE, MASSAPEQUA, NY 11758
(516) 993-3797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004754-01
NY
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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