Individual
MISS KRISTIN POLIDORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SPED
Contact information
Practice address
297 DUTCHMANS POINT RD, MANTOLOKING, NJ 08738-1009
(917) 797-3573
Mailing address
297 DUTCHMANS POINT RD, MANTOLOKING, NJ 08738-1009
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2177400
NY
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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