Amanda Porfert
NPI #1346623881 in Blue Point, New York
Provider Information
- NPI Number
- 1346623881
- Entity Type
- Individual
- Name
- Amanda Porfert
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 263 BLUE POINT AVE
- City
- Blue Point
- State
- New York
- ZIP Code
- 11715-1224
- Phone
- (631) 371-9673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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