Individual
JANELLE AMBER POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
428 ROUTE 25A BLDG A, MILLER PLACE, NY 11764-2514
(631) 509-5544
Mailing address
17 FREEMONT LN, CORAM, NY 11727-3234
(917) 684-7813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86299756
NY
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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