National Provider Identifier
Jacob Potwora
Jacob Potwora is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 573-2411.
Profile Overview
- NPI
- 1952032575
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 23, 2022
- Last Updated
- May 23, 2025
Practice Location
- 4949 Main St
- Amherst, NY 14226-4013
Phone: (716) 573-2411
Mailing Address
- 18 Navaho Pkwy
- Buffalo, NY 14210-1814
Specialties
- Physician Assistant (363A00000X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1952032575
- Entity Type
- Individual
- Last Name
- Potwora
- First Name
- Jacob
- Mailing Street Address
- 18 Navaho Pkwy
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-1814
- Mailing Country
- US
- Practice Street Address
- 4949 Main St
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-4013
- Practice Country
- US
- Practice Phone
- (716) 573-2411
- Enumeration Date
- June 23, 2022
- Last Updated
- May 23, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Dermatology Physician (207N00000X)