Alevtina Poliak

NPI #1053676478 in Rego Park, New York

Provider Information

NPI Number: 1053676478
Entity Type: Individual
Name: Alevtina Poliak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 6295 SAUNDERS ST
Address 2: 6P
City: Rego Park
State: New York
ZIP Code: 11374-1567
Phone: (718) 896-1061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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