Ekaterina Potapova
Technician/Technologist
1991 Marcus Ave
Lake Success
, New York 11042
Ekaterina Potapova
Technician/Technologist
1991 Marcus Ave
Lake Success
, New York 11042
(516) 442-2250
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Ekaterina Potapova
- 1991 Marcus Ave
- New Hyde Park, NY
- Zip : 11042-2057
- Phone : (516) 442-2250
Second Address
- Ekaterina Potapova
- 1991 Marcus Ave
- Lake Success, NY
- Zip : 11042
- Phone : (516) 442-2250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1306376900 |
|---|---|
| Provider Name | Ekaterina Potapova |
| First Address | New Hyde Park, NY 11042-2057 |
| Second Address | Lake Success, NY 11042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2017 |
| Last Update Date | 15/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3245 | CNIM (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.