Individual
MRS. KRISTA DANIELLE POLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-4307
Mailing address
83 HARVEST LN, WEST ISLIP, NY 11795-1222
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
735402
NY
Other
Enumeration date
07/21/2025
Last updated
09/25/2025
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