Tica Louise Porcoro

NPI #1417602210 in Slate Hill, New York

Provider Information

NPI Number: 1417602210
Entity Type: Individual
Name: Tica Louise Porcoro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 21, 2022
Last Updated: Feb 21, 2022

Practice Location

Address: 69 WELLING RD
City: Slate Hill
State: New York
ZIP Code: 10973-4111
Phone: (845) 800-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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