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Jacob Potwora
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1952032575

Jacob Potwora is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Jacob Potwora practices in Syracuse, NY. The NPI Number for Jacob Potwora is 1952032575 and holds a License No. (New York).

The current practice location address for Jacob Potwora is 1419 Salt Springs Rd, Syracuse, NY and can be reached out via phone at 716-573-2411.

Location: 1419 Salt Springs Rd, Syracuse, NY, 14210-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952032575
Provider Name
Jacob Potwora
Credential
Provider Entity Type
Individual
Gender
Male
Address
1419 Salt Springs Rd, Syracuse, NY, 14210-1814
Phone Number
716-573-2411
Fax Number
Provider Enumeration Date
06/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1419 Salt Springs Rd
City
Syracuse
State
New York
Zip
13214-1302
Phone Number
716-573-2411
Fax Number
person
Provider Business Mailing Address Details
Address
1419 Salt Springs Rd
City
Syracuse
State
New York
Zip
13214-1302
Phone Number
716-573-2411
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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