Individual
DR. DAVID ETHAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
40 VASSAR RD, POUGHKEEPSIE, NY 12603-5247
(845) 462-9773
(845) 463-3926
Mailing address
40 VASSAR RD, POUGHKEEPSIE, NY 12603-5247
(845) 462-9773
(845) 463-3926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060721
NY
Other
Enumeration date
07/23/2015
Last updated
01/26/2017
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