Individual
MR. ANDREW NEIL POLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2194 NESCONSET HWY STE A, STONY BROOK, NY 11790-3500
(631) 246-5468
(631) 246-5442
Mailing address
2194 NESCONSET HWY STE A, STONY BROOK, NY 11790-3500
(631) 246-5468
(631) 246-5442
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6197
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01679698
—
NY
Enumeration date
01/12/2007
Last updated
07/08/2007
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