DR. Danielle Polvanov, OD

NPI #1518634948 in Forest Hills, New York

Provider Information

NPI Number: 1518634948
Entity Type: Individual
Name: DR. Danielle Polvanov, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 24, 2021
Last Updated: Aug 24, 2021

Practice Location

Address: 7051 AUSTIN ST
City: Forest Hills
State: New York
ZIP Code: 11375-4729
Phone: (718) 793-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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