Individual
BENJAMIN ELLIS POTRYKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 EMPIRE ST STE 101, PROVIDENCE, RI 02903-3217
(401) 227-7121
Mailing address
119 EMPIRE ST STE 101, PROVIDENCE, RI 02903-3217
(401) 227-7121
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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