Individual
MRS. BARBARA SUSAN PORRECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, PRE ADMISSION TESTING, MANHASSET, NY 11030-3816
(516) 562-3722
(516) 562-2159
Mailing address
1789 MERIKOKE AVE, WANTAGH, NY 11793-3311
(516) 781-2560
(516) 781-2560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305823-1
NY
Other
Enumeration date
08/08/2011
Last updated
09/20/2011
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