Individual
LAURA CHRISTINE POLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 659-8552
Mailing address
1 GUSTAVE L LEVY PL # 1070, NEW YORK, NY 10029-6504
(212) 241-3160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P129387
NY
Other
Enumeration date
07/05/2024
Last updated
05/14/2026
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