Dianne R Porter, MSED

NPI #1952448953 in Centereach, New York

Provider Information

NPI Number: 1952448953
Entity Type: Individual
Name: Dianne R Porter, MSED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: MSED
Enumeration Date: Jan 31, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 11 WHITE BIRCH DR
City: Centereach
State: New York
ZIP Code: 11720-3827
Phone: (516) 429-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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