Individual
POLINA SELNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
Mailing address
204 CHRISTIAN AVE, STONY BROOK, NY 11790-1232
(631) 991-5670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
343593
NY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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