Individual
MRS. LAURA POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
256 MASON AVE, BUILDING B- 2ND FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1271
(718) 226-1247
Mailing address
8909 BAY 16TH ST APT B1, BROOKLYN, NY 11214-5923
(347) 628-8862
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013497
NY
Other
Enumeration date
09/24/2009
Last updated
08/01/2011
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