Individual
SANDY S POLEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE FL 4, BRONX, NY 10451-5007
(718) 993-7700
Mailing address
920 BAYCHESTER AVE APT 17C, BRONX, NY 10475-1769
(646) 734-3967
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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