Ethan Max Potash
Ethan Max Potash is a Student in an Organized Health Care Education/Training Program in Queens, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
8900 Van Wyck ExpyQueens, NY 11418
Phone: (718) 206-6000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1376286831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 13, 2022 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
| Mailing address | 8900 Van Wyck Expy, Richmond Hill, NY 11418-2897 |
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