Individual
MS. SUSAN LAPORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-4205
(518) 775-4283
Mailing address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 775-4264
(518) 775-4283
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015425
NY
Other
Enumeration date
02/01/2012
Last updated
02/11/2013
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