Individual
ANDREW J PORTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-9555
Mailing address
601 ELMWOOD AVENUE BOX 655, ROCHESTER, NY 14642-8655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
349855
NY
363LF0000X
Family Nurse Practitioner
Primary
349855
NY
Other
Enumeration date
07/07/2022
Last updated
07/22/2023
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