Individual
ALICIA POLANCO-SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 MAIN ST, PEEKSKILL, NY 10566-3111
(914) 257-2715
Mailing address
1340 MAIN ST, PEEKSKILL, NY 10566-3111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329903
NY
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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