Individual
DR. KIM ANN POLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
47 NEW SCOTLAND AVE, MC-44, ALBANY, NY 12208-3412
(518) 262-5768
(518) 262-5082
Mailing address
47 NEW SCOTLAND AVE, MC-44, ALBANY, NY 12208-3412
(518) 262-5082
(518) 262-5082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
80926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063919
RR MEDICARE
NY
05
—
2026756306204
—
NY
Enumeration date
06/05/2006
Last updated
06/22/2010
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