MR. Robert David Polin, LCSW

NPI #1104964410 in Port Jefferson, New York

Provider Information

NPI Number: 1104964410
Entity Type: Individual
Name: MR. Robert David Polin, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 646 MAIN ST
Address 2: LOWER LEVEL
City: Port Jefferson
State: New York
ZIP Code: 11777
Phone: (631) 689-8862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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