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Individual

ANNA POTASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1695 E 21ST ST, APT A10, BROOKLYN, NY 11210-5023
(718) 252-3702
Mailing address
15 CEDAR LN N, GLEN HEAD, NY 11545-1703
(516) 671-9089

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
194801
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01523317
NY
Enumeration date
06/21/2005
Last updated
08/02/2016
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