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Ekaterina Potapova
Technician/Technologist in Lake Success, New York
NPI 1306376900

Ekaterina Potapova is a Technician/Technologist based in New Hyde Park, NY. Ekaterina Potapova practices in Lake Success, NY. The NPI Number for Ekaterina Potapova is 1306376900 and holds a License No. (New York).

The current practice location address for Ekaterina Potapova is 1991 Marcus Ave, Lake Success, NY and can be reached out via phone at 516-442-2250.

Location: 1991 Marcus Ave, Lake Success, NY, 11042-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306376900
Provider Name
Ekaterina Potapova
Credential
Provider Entity Type
Individual
Gender
Female
Address
1991 Marcus Ave, Lake Success, NY, 11042-2057
Phone Number
516-442-2250
Fax Number
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3245 01 CNIM
institution
Provider Business Practice Location Address Details
Address
1991 Marcus Ave
City
Lake Success
State
New York
Zip
11042
Phone Number
516-442-2250
Fax Number
person
Provider Business Mailing Address Details
Address
1991 Marcus Ave
City
Lake Success
State
New York
Zip
11042
Phone Number
516-442-2250
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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