Individual
DR. JACQUELINE R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
470 LENOX AVENUE, 1G, NEW YORK, NY 10037
(212) 281-2265
(212) 281-2265
Mailing address
470 LENOX AVENUE, 1G, NEW YORK, NY 10037
(212) 281-2265
(212) 281-2265
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N0036001
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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