Individual
MR. COLIN ANDREW POLNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW INTERN
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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