Individual
ASHLEY POTENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 PARKSIDE DR, WEST SENECA, NY 14224-3405
(716) 574-5386
Mailing address
87 PARKSIDE DR, WEST SENECA, NY 14224-3405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753284
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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