Jessica Alana Polanco

NPI #1003336900 in Forest Hills, New York

Provider Information

NPI Number: 1003336900
Entity Type: Individual
Name: Jessica Alana Polanco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 21, 2017
Last Updated: Aug 4, 2017

Practice Location

Address: 7000 AUSTIN STREET
Address 2: SUITE 200
City: Forest Hills
State: New York
ZIP Code: 11375
Phone: (718) 762-7633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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