Individual
KAREN ANN POLLIDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 E MAIN ST, PORT JERVIS, NY 12771-2113
(845) 856-3284
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(570) 409-0321
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307722-1
NY
363LA2200X
Adult Health Nurse Practitioner
SP016148
PA
Other
Enumeration date
08/16/2016
Last updated
06/01/2018
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