Tica Louise Porcoro

Primary specialty

SpecialistTaxonomy code 174400000X

License

860535 Issued in NY

Practice address

69 Welling Rd
Slate Hill, NY 10973-4111

Phone

(845) 800-5566

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1417602210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WELLING RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734111",
            "telephone_number": "845-800-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WELLING RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734111",
            "telephone_number": "845-800-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCORO",
        "first_name": "TICA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "860535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele A Orestuk, MS, CCC-SLP, MBA
• Jaclynn Orobello
• Samantha Paige-Graeber, L.M.T.
• Melissa Pavilack, PHARMD
• Sherin Philip, MD
• Potter Counseling and Evaluation Service, CSW, PC
• Carla C Potter, MSSW, LCSW
• James Potter, MSW, LCSW
• Anthony Puglisi, DC
• Bonnie Redling

• Specialist in Slate Hill, NY
• Providers in Slate Hill, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.