Individual
MR. JOHN STEPAN POTOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1603
(859) 323-5956
(859) 323-1080
Mailing address
217 CASE ST, SYRACUSE, NY 13209-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
119587
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
3016423
KY
Other
Enumeration date
01/18/2018
Last updated
09/16/2021
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