Individual
MS. DENINE LYNN POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
816 MAIN ST, MARGARETVILLE, NY 12455-8028
(917) 680-2621
(866) 573-0758
Mailing address
PO BOX 944, MARGARETVILLE, NY 12455-0944
(917) 680-2621
(866) 573-0758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03133231
—
NY
Enumeration date
04/23/2007
Last updated
06/08/2021
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