Individual
ALYSON POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 LACONIA AVE, BRONX, NY 10469-1418
(347) 603-7737
Mailing address
2929 LACONIA AVE, BRONX, NY 10469-1418
(347) 603-7737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277114
NY
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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