Individual
NOELLE POLNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
Mailing address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-8191
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421117-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03574563
—
NY
Enumeration date
04/01/2013
Last updated
02/05/2026
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