Michael Polidoro, PA

NPI #1043236375 in Bay Shore, New York

Provider Information

NPI Number
1043236375
Entity Type
Individual
Name
Michael Polidoro, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
375 E MAIN ST
Address 2
STE 1
ZIP Code
11706-8418
Phone
(631) 665-8790

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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