Individual
CARMEN POLISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
667 SHUNPIKE RD, CHATHAM, NJ 07928-1574
(973) 229-6456
Mailing address
301 W 53RD ST, NEW YORK, NY 10019-5766
(973) 229-6456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00360100
NJ
Other
Enumeration date
10/16/2019
Last updated
01/06/2025
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