Individual
IRINA POLIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
58 FAIRVIEW AVE, CLOSTER, NJ 07624-1104
(516) 528-6920
Mailing address
58 FAIRVIEW AVE, CLOSTER, NJ 07624-1104
(516) 528-6920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F349270-01
NY
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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