Harvey Jay Popolow

NPI #1265794119 in Glen Oaks, New York

Provider Information

NPI Number: 1265794119
Entity Type: Individual
Name: Harvey Jay Popolow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 26009 UNION TPKE
City: Glen Oaks
State: New York
ZIP Code: 11004-1345
Phone: (516) 395-5584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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