Individual
JENNIFER LYNN POTOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-1000
Mailing address
1 HOSPITAL PLZ, DEPARTMENT OF RESPIRATORY CARE, STAMFORD, CT 06902-3602
(203) 276-1000
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
2173
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NA
—
Enumeration date
03/29/2020
Last updated
03/29/2020
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