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Contact Information

JOSHUA POTTER, DO
44 SOUTH FERRY ROAD
SHELTER ISLAND, NY11964
 Phone: 631-749-9140
 Fax: 631-759-9424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JOSHUA POTTER · (Male)

NPI Number 1669835724
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/05/2016
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 303563
  • NY Medicaid 06020593
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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