| 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 |