Individual
NATALIA POTAPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 5TH AVE, # 1A, NEW YORK, NY 10003-4307
(917) 215-3687
(917) 591-0604
Mailing address
25 5TH AVE, #1A, NEW YORK, NY 10003-4307
(917) 215-3687
(917) 591-0604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
255889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07903
—
LA
Enumeration date
06/01/2007
Last updated
03/26/2013
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