Individual
BRIAN T POREBSKI
Active
Individual
BRIAN T POREBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0222221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011249902
CHILDHEALTH PLUS
—
01
—
000626999001
COMMUNITY CARE
—
05
—
01465154
—
NY
01
—
050801000038
FIDELIS CHILD HEALTH PLUS
—
01
—
160975538
NORTH AMERICAN PREFERRED
—
01
—
6698654
GROUP HEALTH INSURANCE
—
01
—
ASO
00011249902
—
Enumeration date
02/24/2006
Last updated
11/29/2011
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