Porco, Janine Joan

Porco, Janine Joan is an individual health care provider with primary practice located at 560 Beaver Ln , Ronkonkoma NY 11779-6019. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Porco, Janine Joan can be contacted via phone (631) 981-8226.

Contact Information

Primary practice address
560 Beaver Ln Ronkonkoma NY 11779-6019
Phone: (631) 981-8226
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 566276 New York

Profile Details

NPI number 1760636682
LBN Legal business name Porco, Janine Joan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760636682 NPPES
New York MEDICAID 566276

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