Individual
SUZANNE L. POLIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6813
Mailing address
967 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-6813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
176B00000X
Midwife
Primary
F002170
NY
Other
Enumeration date
04/21/2011
Last updated
09/06/2022
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