Individual
KATHERINE POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W 172ND ST APT 4, NEW YORK, NY 10032-1722
(917) 242-0822
Mailing address
715 W 172ND ST APT 4, NEW YORK, NY 10032-1722
(917) 242-0822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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