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Contact Information

STEPHANIE G PORTER
270 PARK AVE
HUNTINGTON, NY11743-2787
 Phone: 631-351-2035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STEPHANIE G PORTER · (Female)

NPI Number 1033634993
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 640467
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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