Justin I. Porto, D.o. P.c. | |
287 Route 41 Freehold NY 12431-6013 | |
(518) 929-4005 | |
Not Available |
Full Name | Justin I. Porto, D.o. P.c. |
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Speciality | Family Medicine |
Location | 287 Route 41, Freehold, New York |
Authorized Official Name and Position | Justin I Porto (PHYSICIAN) |
Authorized Official Contact | 5189294005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Justin I. Porto, D.o. P.c. 287 Route 41 Freehold NY 12431-6013 Ph: (518) 929-4005 | Justin I. Porto, D.o. P.c. 287 Route 41 Freehold NY 12431-6013 Ph: (518) 929-4005 |
NPI Number | 1770988636 |
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Provider Enumeration Date | 11/04/2014 |
Last Update Date | 11/04/2014 |
Identifier | Type | State | Issuer |
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1770988636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 228982 (New York) | Primary |