Individual
DOREEN L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1134 STATE ROUTE 29, GREENWICH FAMILY HEALTH CENTER, GREENWICH, NY 12834-6107
(518) 692-9861
(518) 692-7947
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 692-9861
(518) 692-7947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02347400
—
NY
01
—
P00370312
RR MEDICARE
NY
Enumeration date
12/19/2005
Last updated
07/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us