Kelly R Porta in New Hyde Park - Physician Assistant
Kelly R Porta - NPI 1215112164
Kelly R Porta is a Physician Assistant in New Hyde Park, New York. Kelly R Porta practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly R Porta is 1215112164. The last update date is 2008-01-09.
Kelly R Porta's current location address is 27005 76th Ave, New Hyde Park, New York. You can contact this provider via phone number 7184704455 and fax number 7184707270. The mailing address for Kelly R Porta is 27005 76th Ave, New Hyde Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Porta |
|---|---|
| Address | 27005 76th Ave, New Hyde Park, New York |
| Phone Number | 7184704455 |
| Fax Number | 7184707270 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1215112164 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 27005 76th Ave |
|---|---|
| City | New Hyde Park |
| State | New York (NY) |
| Post Code | 110401433 |
| Phone Number | 7184704455 |
| Fax Number | 7184707270 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8808 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly R Porta by the Centers for Medicare & Medicaid Services?
The Kelly R Porta has been assigned the NPI (National Provider Identifier) 1215112164. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kelly R Porta's facilities are situated?
The facilities of Kelly R Porta are physically located at the following address: 27005 76Th Ave, New Hyde Park, NY, 110401433.
What is the area of specialization for Kelly R Porta, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly R Porta is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Kelly R Porta receive its 1215112164?
The Kelly R Porta was issued its 1215112164 on 2008-01-09, which is the date when the organization was assigned this unique identifier.
When was the Kelly R Porta's information last updated?
The Kelly R Porta's information was last updated on 2008-01-09.
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