SearchNew York1041C0700X

Carol Potruch, LCSW, PHD

NPI 1003992611 · on the registry since 2006 · sole proprietor

Practice

Address
1527 Franklin Ave
Suite 203
Mineola, NY 11501
Phone
(516) 317-1493
Fax
(212) 744-0696
Clinicians at this address
7

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York