Maxmoore Potkin is a student in an organized health care education training program in New York, NY. The provider is 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. Maxmoore Potkin NPI is 1407591704. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
635 W 165TH ST
NEW YORK, NY
ZIP 10032-724
Phone: (212) 305-9578
The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.