MARIE T POTTANAT MD - NPI 1114966306 - Internal Medicine in Lake Ronkonkoma, NY

Q: What is Marie Pottanat's NPI number?

The NPI number for Marie Pottanat is 1114966306. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Marie Pottanat's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Pottanat was last updated on October 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Marie T Pottanat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE T POTTANAT MD (NPI 1114966306) is an individual internal medicine provider in Lake Ronkonkoma, New York, licensed in New York (143538) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114966306

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARIE T POTTANATCredential: MD

Location Address640 HAWKINS AVELake Ronkonkoma, NY 11779-2324

Mailing Address1000 Zeckendorf BlvdGarden City, NY 11530-2133 · (516) 542-6880 · Fax (516) 542-5556

Phone(631) 737-0100

Fax(631) 417-1117

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateOctober 8, 2011

✔ NPI 1114966306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 143538

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

640 HAWKINS AVE, Lake Ronkonkoma, NY 11779

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Other Identifiers 2

Medicaid01723537NY

Medicare UPINE89993NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA K SINGH MD

Internal Medicine