Individual
DAVID PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 E 84TH ST, APARTMENT 3-A, NEW YORK, NY 10028-0975
(212) 535-5035
(917) 591-7571
Mailing address
124 E 84TH ST, APARTMENT 3-A, NEW YORK, NY 10028-0915
(212) 535-5035
(917) 591-7571
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0951401
NY
Other
Enumeration date
09/07/2006
Last updated
04/13/2012
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