Individual
MARINA VASILIEVNA POLSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 HUNTING RIDGE RD, EASTON, CT 06612-1018
(646) 409-3528
Mailing address
65 HUNTING RIDGE RD, EASTON, CT 06612-1018
(646) 409-3528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003373
NY
207R00000X
Internal Medicine Physician
Primary
052490
CT
207R00000X
Internal Medicine Physician
25MA09047600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03120472
—
NY
Enumeration date
06/26/2009
Last updated
07/20/2020
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