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Organization

PORT CITY EMERGENCY PHYSICIANS LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE WHITMAN DO (MANAGING PARTNER)
(337) 609-1221
Entity
Organization

Contact information

Practice address
510 SOUTH FOURTH STREET, FULTON, NY 13069-2904
(315) 592-3500
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03128172
NY
Enumeration date
04/06/2009
Last updated
01/05/2023
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