Individual
DR. DEAN CARL POLISTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 WEST 60TH ST, SUITE 1Y, NEW YORK, NY 10023
(212) 262-5177
(212) 265-8225
Mailing address
30 WEST 60TH ST, SUITE 1Y, NEW YORK, NY 10023
(212) 262-5177
(212) 265-8225
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
193200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01636277
—
NY
Enumeration date
08/31/2006
Last updated
01/30/2008
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