Individual
EILEEN A POTAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 W 13TH ST PH A, NEW YORK, NY 10011-7915
(917) 750-0776
Mailing address
1108 CYPRESS TRACE DR, MELBOURNE, FL 32940-1619
(917) 750-0776
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000434-1
NY
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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