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Organization
POLINA LISS MD PLLC
Active
Organization
POLINA LISS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLINA LISS MD (OWNER)
(212) 477-1325
Entity
Organization
Contact information
Practice address
305 2ND AVE, SUITE 4, NEW YORK, NY 10003-2739
(212) 477-1325
Mailing address
305 SECOND AVENUE, SUITE 4, NEW YORK, NY 10003
(212) 477-1325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212289
NY
Other
Enumeration date
08/13/2008
Last updated
10/14/2008
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