Individual
PATRICIA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CHURCH ST, WHITE PLAINS, NY 10601-1901
(914) 421-0400
Mailing address
90 MANHATTAN AVE APT 4J, WHITE PLAINS, NY 10603-2737
(914) 439-3910
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
02243145
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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