Individual
MARY BARBARA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
919 WESTFALL RD, BUILDING A, SUITE 105, ROCHESTER, NY 14618-2638
(585) 244-9720
(585) 244-9995
Mailing address
7 HARVEST GLN, PITTSFORD, NY 14534-2769
(585) 444-0102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
251574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3152765
—
NY
Enumeration date
06/15/2006
Last updated
11/19/2013
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