MEDICARE: MS. MINI POTHEN

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	103T00000X	Psychologist	016036	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548369184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MINI POTHEN

Provider Business Mailing Address
First Line	:	16215 78TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11366-1911
Country	:	US
Telephone Number	:	718-591-7054
Fax Number	:

Provider Business Practice Location Address
First Line	:	7603 113TH ST
Second Line	:	SUITE M6
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6530
Country	:	US
Telephone Number	:	718-268-1100
Fax Number	:	718-263-6418

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/27/2007

Similar Medicare Providers

1699858498 — DR. HOWARD STEVEN NASS M.D.
Practice Location Address:

7601 113TH ST , FOREST HILLS ROYALE SUITE # M5
FOREST HILLS, NY
11375-6530

Practice Phone: 718-520-1070
Practice Fax:

1871635748 — ARLIN TELFEIAN M.D.
Practice Location Address:

6530 108TH ST , #1G
FOREST HILLS, NY
11375-2255

Practice Phone: 718-275-1400
Practice Fax: 718-263-1377

1558492314 — UROLOGY DYNAMIC, PC
Practice Location Address:

7603 113TH ST
FOREST HILLS, NY
11375-6530

Practice Phone: 718-204-0414
Practice Fax: 718-204-7470

1154830545 — MRS. LOKMATTIE SHELLY CHANNAN LCSW
Practice Location Address:

6530 108TH ST
FOREST HILLS, NY
11375-2255

Practice Phone: 347-803-3493
Practice Fax: 347-803-3493

1275153603 — AVERY LYNN MARKOWITZ
Practice Location Address:

58 PINE HILL LN
DIX HILLS, NY
11746-6530

Practice Phone: 646-361-4680
Practice Fax:

1346219128 — DR. MARY BARKER TAYLOR D.C.
Practice Location Address:

120 CAPCOM AVE , SUITE 104
WAKE FOREST, NC
27587-6530

Practice Phone: 919-570-9097
Practice Fax: 919-570-9094

Directions to “ MS. MINI POTHEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.