| 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. | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 11/04/2014 | 
| Last Update Date | 11/04/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770988636 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 228982 (New York) | Primary |