Individual
MR. JAMES BENJAMIN LOPORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
22 EDWARDS DR, PINE BUSH, NY 12566-6215
(845) 744-3930
Mailing address
22 EDWARDS DR, PINE BUSH, NY 12566-6215
(845) 744-3930
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
004068-1
NY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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