Individual
JOANNY POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD STE 114, FARMINGDALE, NY 11735-3931
(718) 264-1640
Mailing address
1039 BRINSMADE AVE, BRONX, NY 10465-1905
(347) 907-0628
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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