Potencion, Abraham Dasalla

Potencion, Abraham Dasalla is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Potencion, Abraham Dasalla can be contacted via phone (718) 226-6134.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Fax: (718) 226-6133
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332578 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00115800 New Jersey

Profile Details

NPI number 1366494361
LBN Legal business name Potencion, Abraham Dasalla
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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