Stephanie Pothos

NPI #1356743256 in Lindenhurst, New York

Provider Information

NPI Number: 1356743256
Entity Type: Individual
Name: Stephanie Pothos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 152 WYONA AVE
City: Lindenhurst
State: New York
ZIP Code: 11757-5939
Phone: (631) 413-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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