Provider Demographics
NPI:1184873853
Name:POTTER, SHARI (PA)
Entity type:Individual
Prefix:MS
First Name:SHARI
Middle Name:
Last Name:POTTER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:67 WEST 55TH STREET
Mailing Address - Street 2:MANHATTAN PHYSICIANS GROUP
Mailing Address - City:MANHATTAN
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:917-510-2854
Mailing Address - Fax:212-484-3578
Practice Address - Street 1:324 EAST 23RD STREET
Practice Address - Street 2:MANHATTAN PHYSICIANS GROUP
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-460-7800
Practice Address - Fax:212-460-7877
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
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Provider Licenses
StateLicense IDTaxonomies
NY002091-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical