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Individual
MRS. MARINA LEYBOVNA POLYAK
Active
Individual
MRS. MARINA LEYBOVNA POLYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05015179
PA
207R00000X
Internal Medicine Physician
0T012225
PA
208M00000X
Hospitalist Physician
Primary
5101019649
MI
Other
Enumeration date
01/23/2008
Last updated
04/11/2017
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