National Provider Identifier
Renee Porter, P.A.
Renee Porter, P.A. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 826-7000.
Profile Overview
- NPI
- 1922045210
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 02, 2006
- Last Updated
- February 21, 2019
Practice Location
- 565 Abbott RD
- Buffalo, NY 14220
Phone: (716) 826-7000
Mailing Address
- 440 Beebe RD
- Ilion, NY 13357-3741
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1922045210
- Entity Type
- Individual
- Last Name
- Porter
- First Name
- Renee
- Credential
- P.A.
- Mailing Street Address
- 440 Beebe RD
- Mailing City
- Ilion
- Mailing State
- NY
- Mailing ZIP Code
- 13357-3741
- Mailing Country
- US
- Mailing Phone
- (315) 897-6694
- Practice Street Address
- 565 Abbott RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220
- Practice Country
- US
- Practice Phone
- (716) 826-7000
- Enumeration Date
- June 02, 2006
- Last Updated
- February 21, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 02743259 (NY)