Individual
EMILY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 SAWGRASS DR, ROCHESTER, NY 14620-4648
(585) 275-2838
Mailing address
88 GUINEVERE DR, ROCHESTER, NY 14626-4309
(585) 944-5265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
348086
NY
363LF0000X
Family Nurse Practitioner
Primary
348086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348086
PRIVATE
NY
05
—
348086
—
NY
Enumeration date
10/20/2021
Last updated
07/17/2023
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