Individual
DR. ALAN POLNARIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(973) 908-1600
Mailing address
60 CLARADON LN, STATEN ISLAND, NY 10305-2809
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
28RI03210300
NJ
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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