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Individual

DR. LILIYA POLYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APN, AGPCNP-C

Contact information

Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
5795 HYLAN BLVD, STATEN ISLAND, NY 10309-3909
(609) 510-0572

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01176500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01176500
NJ

Other

Enumeration date
07/16/2021
Last updated
04/10/2024
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