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NPI Code Detail

MEDICARE: KATHRYN PORTERA

MEDICARE: KATHRYN PORTERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistCA
2235Z00000XSpeech-Language Pathologist12675CA
3235Z00000XSpeech-Language Pathologist030654-01NY

General Provider Information

NPI Number : 1780162180
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN PORTERA
Provider Business Mailing Address
First Line : 136 E 76TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10021-2825
Country : US
Telephone Number : 631-603-4513
Fax Number :
Provider Business Practice Location Address
First Line : 44 COURT ST STE 1217
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4410
Country : US
Telephone Number : 347-970-2188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 08/16/2023

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Directions to “ KATHRYN PORTERA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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