National Provider Identifier
Fallon Rae Potter
Fallon Rae Potter is listed in the NPPES registry with a primary specialty of Counselor in North Collins, NY and a listed phone number of (716) 796-3416.
Profile Overview
- NPI
- 1841924297
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- July 12, 2022
- Last Updated
- July 12, 2022
Practice Location
- 2101 Spruce St
- North Collins, NY 14111-9701
Phone: (716) 796-3416
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1841924297
- Entity Type
- Individual
- Last Name
- Potter
- First Name
- Fallon
- Middle Name
- Rae
- Mailing Street Address
- 2101 Spruce St
- Mailing City
- North Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14111-9701
- Mailing Country
- US
- Mailing Phone
- (716) 796-3416
- Mailing Fax
- (716) 337-2723
- Practice Street Address
- 2101 Spruce St
- Practice City
- North Collins
- Practice State
- NY
- Practice ZIP Code
- 14111-9701
- Practice Country
- US
- Practice Phone
- (716) 796-3416
- Practice Fax
- (716) 337-2723
- Enumeration Date
- July 12, 2022
- Last Updated
- July 12, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)