Individual
AMELIE SOPHIA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5000 BRIANNA LN APT 12Q, SECAUCUS, NJ 07094-4522
(347) 678-7782
Mailing address
5000 BRIANNA LN APT 12Q, SECAUCUS, NJ 07094-4522
(347) 678-7782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353797
NY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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