Provider Demographics
NPI:1871517177
Name:PORRECA, FRANCIS J (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:PORRECA
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:3219 EAST TREMONT AVENUE
Mailing Address - Street 2:STE 1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-792-8115
Mailing Address - Fax:718-792-2652
Practice Address - Street 1:3219 E TREMONT AVE
Practice Address - Street 2:STE 1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5751
Practice Address - Country:US
Practice Address - Phone:718-792-8115
Practice Address - Fax:718-792-2652
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-02-14
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Provider Licenses
StateLicense IDTaxonomies
NY1407802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00823749Medicaid
NYWEK531Medicare ID - Type UnspecifiedMONTEFIORE MEDICAL GROUP
NYA60998Medicare UPIN