Individual
ROBERT POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 HOWARD DR, CORAM, NY 11727-3519
(631) 903-3574
Mailing address
35 HOWARD DR, CORAM, NY 11727-3519
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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