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Mellisa Georgette Porter
Primary Care Nurse Practitioner in Brooklyn, New York
NPI 1235615923

Mellisa Georgette Porter is a Primary Care Nurse Practitioner based in Brooklyn, NY and is specialized in Primary Care. Mellisa Georgette Porter practices in Brooklyn, NY. The NPI Number for Mellisa Georgette Porter is 1235615923 and holds a License No. 341954 (New York).

The current practice location address for Mellisa Georgette Porter is 1180 E 55Th St, Brooklyn, NY and can be reached out via phone at 917-701-5277.

Location: 1180 E 55Th St, Brooklyn, NY, 11234-2418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235615923
Provider Name
Mellisa Georgette Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
1180 E 55Th St, Brooklyn, NY, 11234-2418
Phone Number
917-701-5277
Fax Number
Provider Enumeration Date
07/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1180 E 55Th St
City
Brooklyn
State
New York
Zip
11234-2418
Phone Number
917-701-5277
Fax Number
person
Provider Business Mailing Address Details
Address
1180 E 55Th St
City
Brooklyn
State
New York
Zip
11234-2418
Phone Number
917-701-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
341954 (New York)
Definition
Definition to come...
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