# NATALIA POTAPOVA OPHTHALMOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275876500
- **Authorized official:** NATALIA POTAPOVA M.D. (OWNER)
- **Authorized official phone:** (917) 215-3687

## Contact information

- **Practice address:** 25 5TH AVE, SUITE 1A, NEW YORK, NY 10003-4307
- **Practice address phone:** (917) 215-3687
- **Practice address fax:** (917) 591-0604
- **Mailing address:** 25 5TH AVE, SUITE 1A, NEW YORK, NY 10003-4307
- **Mailing address phone:** (917) 215-3687
- **Mailing address fax:** (917) 591-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 255889 | NY | Yes |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 04/04/2013