Pothen, Mini

Pothen, Mini is an individual health care provider with primary practice located at 7603 113Th St Suite M6, Forest Hills NY 11375-6530. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pothen, Mini can be contacted via phone (718) 268-1100.

Contact Information

Primary practice address
7603 113Th St Suite M6 Forest Hills NY 11375-6530
Phone: (718) 268-1100
Fax: (718) 263-6418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016036 New York

Profile Details

NPI number 1548369184
LBN Legal business name Pothen, Mini
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 27th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548369184 NPPES
New York MEDICAID 02797560

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