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
Phone: (516) 632-3380
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083614184 | NPPES |
New York | MEDICAID | 01438531 |
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