Russell Porter in Rockville Centre - Family Medicine

Russell Porter - NPI 1275511560

Russell Porter is a Family Medicine in Rockville Centre, New York. Russell Porter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell Porter is 1275511560. The last update date is 2023-03-07.

Russell Porter's current location address is 2000 North Villiage Ave, Rockville Centre, New York. You can contact this provider via phone number 5167665051 and fax number 5167662476. The mailing address for Russell Porter is 2000 North Villiage Ave, Rockville Centre, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Porter
Address 2000 North Villiage Ave, Rockville Centre, New York
Phone Number 5167665051
Fax Number 5167662476
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1275511560
Provider Enumeration Date 2006-01-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2000 North Villiage Ave
City Rockville Centre
State New York (NY)
Post Code 115701001
Phone Number 5167665051
Fax Number 5167662476

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 136530
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2590505 UNEMPLOYMENT ER
36A761 BCBS
927080 PHS FOR REFERRALS
CFP1365303 NY WC
AP970 OXFORD
559637 US HEALTHCARE
598458 NY --
AB45677 MDNY
OC7613 PHS

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FAQs about Russell Porter

What is the unique 10-digit identification code issued to Russell Porter by the Centers for Medicare & Medicaid Services?

The Russell Porter has been assigned the NPI (National Provider Identifier) 1275511560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Russell Porter is physically located?

The Russell Porter is situated at the following address: 2000 North Villiage Ave, Rockville Centre, NY 115701001.

What is Russell Porter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Russell Porter's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did the Russell Porter receive its 1275511560?

The Russell Porter was issued its 1275511560 on 2006-01-06, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Russell Porter most recently updated or revised?

The information pertaining to Russell Porter, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.

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