Individual
MR. ANDREW M POLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
441 COMMERCE RD, VESTAL, NY 13850-2242
(888) 319-1818
Mailing address
3252 HUNTERS LANDING RD, BINGHAMTON, NY 13903-5614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
UNKNOWN
—
Enumeration date
09/20/2006
Last updated
05/09/2020
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