Individual
DR. ROXANE POLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
32 SHAMROCK CT, SYOSSET, NY 11791-2417
(516) 496-3577
(516) 496-4742
Mailing address
32 SHAMROCK CT, SYOSSET, NY 11791-2417
(516) 496-3577
(516) 496-4742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0073891
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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