Porter, John Alfred

Porter, John Alfred is an individual health care provider with primary practice located at 4 Coulter Rd #58, Clifton Springs NY 14432-1122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Porter, John Alfred can be contacted via phone (315) 462-1485.

Contact Information

Primary practice address
4 Coulter Rd #58 Clifton Springs NY 14432-1122
Phone: (315) 462-1485
Fax: (315) 462-2619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 146697 New York

Profile Details

NPI number 1740219237
LBN Legal business name Porter, John Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740219237 NPPES
New York Other X70002 GENEVA GENERAL HOSPITAL
New York MEDICAID 0062375 GENEVA GENERAL HOSPITAL

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