Individual
DR. CAROL S POLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FNP, NPP
Contact information
Practice address
750 E ADAMS ST, TU3 SUITE 222, SYRACUSE, NY 13210-2342
(315) 464-3293
(315) 464-3202
Mailing address
750 E ADAMS ST, TU3 SUITE 222, SYRACUSE, NY 13210-2342
(315) 464-3293
(315) 464-3202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F331894
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
P400947
NY
Other
Enumeration date
03/27/2006
Last updated
10/20/2008
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