Individual
MS. BROOKE ALEXANDRA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
OSCAR
—
01
—
53099A
MEDICARE PIN
NY
Enumeration date
07/05/2022
Last updated
08/14/2023
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