Basic Information
| Provider Information | |||||||||
| NPI: | 1184873853 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POTTER | ||||||||
| FirstName: | SHARI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 67 WEST 55TH STREET | ||||||||
| Address2: | MANHATTAN PHYSICIANS GROUP | ||||||||
| City: | MANHATTAN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9175102854 | ||||||||
| FaxNumber: | 2124843578 | ||||||||
| Practice Location | |||||||||
| Address1: | 324 EAST 23RD STREET | ||||||||
| Address2: | MANHATTAN PHYSICIANS GROUP | ||||||||
| City: | NYC | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124607800 | ||||||||
| FaxNumber: | 2124607877 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2008 | ||||||||
| LastUpdateDate: | 09/17/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 002091-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.