Individual
MARINA POLYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5-11 EUGENE ST, FAIR LAWN, NJ 07410-4055
(646) 752-3487
Mailing address
5-11 EUGENE ST, FAIR LAWN, NJ 07410-4055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07945
MD
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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