Individual
ELLEN RHAME POTTHARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, DEPT OF ANESTHESIOLOGY, BRONX, NY 10467-2401
(718) 920-6423
(718) 881-2245
Mailing address
111 E 210TH ST, DEPT OF ANESTHESIOLOGY, BRONX, NY 10467-2401
(718) 920-6423
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
247420
NY
207L00000X
Anesthesiology Physician
29049
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
247420
NY
208VP0000X
Pain Medicine Physician
29049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290492
—
SC
Enumeration date
03/19/2007
Last updated
01/14/2019
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