# MICHAEL H POLCINO, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881092336
- **Authorized official:** DR. MICHAEL POLCINO III MD (OWNER/PRESIDENT)
- **Authorized official phone:** (631) 482-8134

## Contact information

- **Practice address:** 796 DEER PARK AVE, NORTH BABYLON, NY 11703-4304
- **Practice address phone:** (631) 482-8134
- **Mailing address:** 796 DEER PARK AVE, NORTH BABYLON, NY 11703-4304
- **Mailing address phone:** (631) 482-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 254871 | NY | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 12/16/2014