Individual
JULIA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, 10B, NEW YORK, NY 10025-1737
(212) 523-5179
(212) 523-3476
Mailing address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(212) 987-3100
(212) 987-1799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
286045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286045
NYS MEDICAL LICENSE
NY
Enumeration date
06/25/2012
Last updated
01/11/2022
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