MEDICARE: WOODY LAPOTERIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F408075-01	NY

General Provider Information

NPI Number	:	1043143944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WOODY LAPOTERIE

Provider Business Mailing Address
First Line	:	2300 5TH AVE APT 17H
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	718-579-4739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ WOODY LAPOTERIE ” Practice Location

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