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Organization
MEDICAL OFFICE OF DOCTOR ILONA K POLAK PC
Active
Organization
MEDICAL OFFICE OF DOCTOR ILONA K POLAK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ILONA K POLAK M.D. (PRESIDENT)
(631) 727-6284
Entity
Organization
Contact information
Practice address
34 BAY ST # 103, SAG HARBOR, NY 11963-3104
(631) 808-3337
(631) 808-3338
Mailing address
PO BOX 2986, SAG HARBOR, NY 11963-0402
(631) 808-3337
(631) 808-3338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245282
NY
Other
Enumeration date
09/23/2011
Last updated
01/19/2015
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