Individual
JAHAN PORHOMAYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVENUE, ROCHESTER, NY 14621-3008
(585) 922-4874
Mailing address
1415 PORTLAND AVE, SUITE 245, ROCHESTER, NY 14621-3038
(585) 922-4874
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
196662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01546574
—
NY
Enumeration date
07/03/2006
Last updated
02/08/2016
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