Potter, Domenica Disalvo

Potter, Domenica Disalvo is an individual health care provider with primary practice located at 6 Long Acre Ct , Medford NY 11763-2127. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Potter, Domenica Disalvo can be contacted via phone (632) 675-4511.

Contact Information

Primary practice address
6 Long Acre Ct Medford NY 11763-2127
Phone: (632) 675-4511
Fax: (631) 675-4503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003779-1 New York

Profile Details

NPI number 1972753549
LBN Legal business name Potter, Domenica Disalvo
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 17 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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