Potter, Rebecca K
Potter, Rebecca K is an sole proprietor health care provider with primary practice located at 6700 Kirkville Rd Suite A, East Syracuse NY 13057-9305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Potter, Rebecca K can be contacted via phone (315) 463-2013.Contact Information
Primary practice address
6700 Kirkville Rd Suite A
East Syracuse NY 13057-9305
Phone: (315) 463-2013
Fax: (315) 463-2019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 178456 | New York |
Profile Details
| NPI number | 1114081395 |
|---|---|
| LBN Legal business name | Potter, Rebecca K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Mar 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114081395 | NPPES |
| New York | MEDICAID | 01266724 |
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