National Provider Identifier
Miquita Janae Potts
Miquita Janae Potts is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 834-6401.
Profile Overview
- NPI
- 1841871514
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- April 15, 2021
- Last Updated
- October 28, 2022
Practice Location
- 77 Broadway St
- Buffalo, NY 14203
Phone: (716) 834-6401
Mailing Address
- 55 Dodge Road
- Getzville, NY 14068
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1841871514
- Entity Type
- Individual
- Last Name
- Potts
- First Name
- Miquita
- Middle Name
- Janae
- Mailing Street Address
- 55 Dodge Road
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Mailing Fax
- (716) 831-1818
- Practice Street Address
- 77 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 834-6401
- Practice Fax
- (716) 834-6782
- Enumeration Date
- April 15, 2021
- Last Updated
- October 28, 2022
- Deactivation Date
- April 20, 2021
- Reactivation Date
- September 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)