Individual
PAUL POLLICHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.,P.
Contact information
Practice address
88 SUNNYSIDE BLVD, SUITE 207, PLAINVIEW, NY 11803-1591
(516) 576-6114
(516) 576-6115
Mailing address
88 SUNNYSIDE BLVD, SUITE 207, PLAINVIEW, NY 11803-1591
(516) 576-6114
(516) 576-6115
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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