Individual
MS. CARMAN PAMELLA POTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
230 E 96TH ST, BROOKLYN, NY 11212-2855
(718) 346-7628
Mailing address
230 E 96TH ST, BROOKLYN, NY 11212-2855
(718) 346-7628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256539
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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