Individual
MR. ANGEL POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
819C E 161ST ST, BRONX, NY 10459-3951
(718) 503-7763
(718) 503-7751
Mailing address
819C E 161ST ST, BRONX, NY 10459-3951
(718) 503-7763
(718) 503-7751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11802
NEW YORK STATE
NY
Enumeration date
01/29/2009
Last updated
01/29/2009
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