Individual
MARK J POLISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMG - WILLIAMSBRIDGE, 3448 BOSTON ROAD, BRONX, NY 10469
(718) 547-6111
Mailing address
26 SYCAMORE LN, IRVINGTON, NY 10533-1918
(718) 547-6111
(718) 547-4749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215837
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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