Individual
MR. ANATOLY POLOSATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2400
Mailing address
2693 FALLOW HILL LN, JAMISON, PA 18929-1770
(718) 904-6605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230799
NY
207R00000X
Internal Medicine Physician
25MB08051300
NJ
207R00000X
Internal Medicine Physician
OS013476
PA
207R00000X
Internal Medicine Physician
OS19678
FL
Other
Enumeration date
06/27/2005
Last updated
04/09/2023
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