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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEANINE MARIE POTENZA

Active Sole Proprietor

JEANINE MARIE POTENZA is a Respite Care healthcare provider located in HACKENSACK, New Jersey. NPI 1295258333 is currently active in the NPPES registry. Verify at CMS.

Respite Care · HACKENSACK, NJ

Registration Details

NPI Number
1295258333
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2017 (9.0879898082307 yrs)
Last Updated
Mar 17, 2018
License
00375093 (NJ)
Sole Proprietor
Yes

Practice Information

Address
41 FAIRMOUNT AVE APT 8B
HACKENSACK, NJ, 076014747
Browse NJ providers · Browse ZIP 07601
Phone
2014781547
Primary Specialty
Respite Care
385H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.