Individual
MS. DOROTHY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 LARKFIELD RD, STE 202, COMMACK, NY 11725-3131
(631) 486-1060
Mailing address
763 LARKFIELD RD, STE 202, COMMACK, NY 11725-3131
(631) 486-1060
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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