Most Relevant Information
Provider Data
| NPI Number: | 1003456435 |
| Provider Name: | EILEEN A POTAMOS |
| Entity Type: | Individual |
| Taxonomy Code: | 102L00000X |
| Specialty: | Psychoanalyst |
| License Number: | 000434-1 |
Most Important Dates
| Enumeration Date: | 01/14/2020 |
| Last Updated: | 01/14/2020 |
Provider Practice Location
60 W 13TH ST PH A
NEW YORK
NY
100117915
Practice Location Phone/Fax
| Phone: | 9177500776 |
| Fax: |
Provider Mailing Location
1108 CYPRESS TRACE DR
MELBOURNE
FL
329401619
Provider Mailing Phone/Fax
| Phone: | 9177500776 |
| Fax: |