Individual
JACQUELINE POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1991 MARCUS AVE, 2ND FLOOR, NEW HYDE PARK, NY 11042-2057
(516) 354-1600
(516) 941-4677
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308016
NY
Other
Enumeration date
12/07/2016
Last updated
09/25/2019
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