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Individual

TYISHA G POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3030 43RD ST, LONG ISLAND CITY, NY 11103-2646
(718) 472-1999
Mailing address
180 HERON LN, BRONX, NY 10473-1152
(718) 472-1999

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
597392
NY

Other

Enumeration date
01/15/2026
Last updated
01/15/2026
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