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Individual

DR. ALBINA POLT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3753 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 205-4377
(718) 205-8605
Mailing address
6610 YELLOWSTONE BLVD, APT #4A, FOREST HILLS, NY 11375-2042
(718) 897-2955

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049084
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02117715
NY
01
049084
DENTAL LICENSE
NY
Enumeration date
10/27/2005
Last updated
03/07/2023
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