Individual
DR. IRA M POLLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
700 CANTIAGUE ROCK RD, JERICHO, NY 11753-1402
(516) 937-1440
(516) 937-1440
Mailing address
700 CANTIAGUE ROCK RD, JERICHO, NY 11753-1402
(516) 937-1440
(516) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01055334
—
NY
Enumeration date
10/26/2006
Last updated
07/08/2007
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