Individual
DR. ANDREA LEE POLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
363 ROUTE 111, SUITE 101, SMITHTOWN, NY 11787-4756
(631) 724-9394
Mailing address
363 ROUTE 111, SMITHTOWN, NY 11787-4756
(631) 724-9394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245343
NY
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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