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MARY BARBARA PORTER M.D. F.A.A.P. NPI 1699719088


NPI Information

NPI: 1699719088
Provider Name: MARY BARBARA PORTER, M.D., F.A.A.P.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
919 WESTFALL RD
BUILDING A, SUITE 105
ROCHESTER, NY
ZIP 14618
Phone: (585) 244-9720
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Mary Barbara Porter, M.D., F.A.A.P. is a pediatrics in Rochester, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Barbara Porter, M.D., F.A.A.P. NPI is 1699719088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

919 WESTFALL RD
BUILDING A, SUITE 105
ROCHESTER, NY
ZIP 14618-638
Phone: (585) 244-9720
Fax: (585) 244-9995

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics251574NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13152765MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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