Individual
DR. LAUREL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 RIVERSIDE DR, APT 4E, NEW YORK, NY 10025-1860
(212) 222-9930
Mailing address
400 RIVERSIDE DR, APT 4E, NEW YORK, NY 10025-1860
(212) 222-9930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
157301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02906398
—
NY
Enumeration date
08/18/2006
Last updated
08/05/2008
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