Individual
MRS. LENITA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13750 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
(718) 298-5130
Mailing address
13750 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
(718) 298-5130
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
175T00000X
Peer Specialist
—
—
261QH0100X
Health Service Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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