Individual
YANERIS ALTAGRACIA SUERO POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
199 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-2543
(203) 874-2544
Mailing address
1181 TINTON AVE APT 1C, BRONX, NY 10456-5464
(347) 358-5542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79118
CT
207R00000X
Internal Medicine Physician
102156-01
NY
Other
Enumeration date
04/14/2020
Last updated
08/28/2024
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