Individual
CATRINA POLIDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 VIOLET AVE, HICKSVILLE, NY 11801-1748
(516) 576-2040
Mailing address
32 VIOLET AVE, HICKSVILLE, NY 11801-1748
(516) 576-2040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
934748564
NY
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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