Ms Maura E Porricolo, NP | |
1400 Pelham Pkwy S, Room 810, Bronx, NY 10461-1138 | |
(718) 918-4781 | |
Not Available |
Full Name | Ms Maura E Porricolo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1400 Pelham Pkwy S, Bronx, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215186168 | NPI | - | NPPES |
02267398 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 380409 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Maura E Porricolo, NP 1400 Pelham Pkwy S, Room 810, Bronx, NY 10461-1138 Ph: (718) 918-4781 | Ms Maura E Porricolo, NP 1400 Pelham Pkwy S, Room 810, Bronx, NY 10461-1138 Ph: (718) 918-4781 |
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