Individual
ALLISON JEAN POTOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2508 WESTERN AVE, ALTAMONT, NY 12009-9485
(518) 690-0177
(518) 690-0169
Mailing address
2508 WESTERN AVE, ALTAMONT, NY 12009-9485
(518) 690-0177
(518) 690-0169
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
023728
NY
363A00000X
Physician Assistant
Primary
023728
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/04/2019
Last updated
06/09/2021
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