Porco, Antonia Francesca
Porco, Antonia Francesca is an individual health care provider with primary practice located at 256 Main Street , Northport NY 11768. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Porco, Antonia Francesca can be contacted via phone (631) 431-1449.Contact Information
Primary practice address
256 Main Street
Northport NY 11768
Phone: (631) 431-1449
Fax: (631) 979-6067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6478 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RO403101 | New York |
Profile Details
| NPI number | 1235181520 |
|---|---|
| LBN Legal business name | Porco, Antonia Francesca |
| Credentials | LCS C AS AC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235181520 | NPPES |
| New York | MEDICAID | 02486744 | |
| New York | Other | P3597425 |
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