Individual
DR. LOUIS POTTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 OCEANSIDE RD, OCEANSIDE, NY 11572-1548
(516) 632-3380
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
166604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01438531
—
NY
Enumeration date
07/29/2005
Last updated
07/08/2007
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