Individual provider · Type 1 NPI
Abraham Dasalla Potencion, APRN, BC
Family Nurse Practitioner · Staten Island, NY
NPI number
1366494361
Active
Practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Fax (718) 226-6133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 332578 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00115800 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366494361
Abraham Dasalla Potencion, APRN, BC's National Provider Identifier is 1366494361, issued on May 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 10, 2015.