Potter, James

Potter, James is an sole proprietor health care provider with primary practice located at 523 Ridgebury Rd , Slate Hill NY 10973-4310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Potter, James can be contacted via phone (845) 355-1092.

Contact Information

Primary practice address
523 Ridgebury Rd Slate Hill NY 10973-4310
Phone: (845) 355-1092
Fax: (845) 355-6535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-O30485 New York

Profile Details

NPI number 1285758623
LBN Legal business name Potter, James
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285758623 NPPES
New York Other P2190312 OXFORD
New York Other 136233 OXFORD
New York Other 7492042 OXFORD

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