Potters, Louis

Potters, Louis is an sole proprietor health care provider with primary practice located at 2445 Oceanside Rd , Oceanside NY 11572-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Potters, Louis can be contacted via phone (516) 632-3380.

Contact Information

Primary practice address
2445 Oceanside Rd Oceanside NY 11572-1548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 166604 New York

Profile Details

NPI number 1083614184
LBN Legal business name Potters, Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083614184 NPPES
New York MEDICAID 01438531

Popular Providers