Potter, Fallon Rae

Potter, Fallon Rae is an individual health care provider with primary practice located at 2101 Spruce St , North Collins NY 14111-9701. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Potter, Fallon Rae can be contacted via phone (716) 796-3416.

Contact Information

Primary practice address
2101 Spruce St North Collins NY 14111-9701
Phone: (716) 796-3416
Fax: (716) 337-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1841924297
LBN Legal business name Potter, Fallon Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - about 3 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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