Individual
DR. ELOISE MARIE POTENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1311 UNION ST, SCHENECTADY, NY 12308-2905
(518) 374-6263
(518) 374-1778
Mailing address
11 PEEL ST, SELKIRK, NY 12158-9734
(518) 439-8218
(518) 478-0751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016484
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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