Individual provider · Type 1 NPI

Madison Jessica Potocki

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1750292686 Active

Practice location

1140 Broadway Rm 204
New York, NY 10001-7504

Call (917) 902-9892 Map

Mailing address

1887 Greene Ave Apt 2
Ridgewood, NY 11385-1555

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1750292686

Madison Jessica Potocki's National Provider Identifier is 1750292686, issued on Sep 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 17, 2026.