Individual
DR. JONATHAN ZACHARY POTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 11TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-4299
(212) 426-5099
Mailing address
5 E 98TH ST, 11TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-4299
(212) 426-5099
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
228954
NY
Other
Enumeration date
02/01/2007
Last updated
05/05/2008
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