Provider Demographics
NPI:1588196067
Name:PORCARO, LORRAINE K (RN)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:K
Last Name:PORCARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 ROCK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-2508
Mailing Address - Country:US
Mailing Address - Phone:914-850-3089
Mailing Address - Fax:
Practice Address - Street 1:707 E MAIN STREET
Practice Address - Street 2:DIABETES ROOM 2225E
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-333-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY456183163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator