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Tyisha Potter, RN — NPI 1104785278, Long Island City, NY | NPI Central

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Tyisha Potter, RN

NPI 1104785278 · Hospice Registered Nurse · Long Island City, NY

Provider details

NPI number: 1104785278
Entity type: Individual
Primary specialty: Hospice Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: 597392 (NY)

Practice location

3030 43rd St

Long Island City, NY 11103-2646

Phone: (718) 472-1999

More NY providers

Mailing address

180 Heron Ln

Bronx, NY 10473-1152

Registry dates

Enumerated: 2026-01-15
Last updated: 2026-01-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.