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DAVID POTOKER NPI 1851563076


NPI Information

NPI: 1851563076
Provider Name: DAVID POTOKER
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1611 PEACH ST
SUITE 290
ERIE, PA
ZIP 16501
Phone: (814) 459-9700
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DAVID POTOKER is a rehabilitation clinic center in Erie, PA. DAVID POTOKER NPI is 1851563076. The provider is registered as an organization entity type.

The provider's business location address is:

1611 PEACH ST
SUITE 290
ERIE, PA
ZIP 16501-109
Phone: (814) 459-9700
Fax: (814) 454-8728

The provider's authorized official is David Potoker .
The authorized official title is Administrator and has the following contact phone number (814) 459-9700.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationSL 00129 LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1396582MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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