Individual
DR. KATHLEEN NORTHROP PORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4568
Mailing address
12 W 96TH ST, APT. 11B, NEW YORK, NY 10025-6509
(212) 749-7869
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
156400
NY
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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