Individual
ALEXMI POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5030 BROADWAY STE 630, NEW YORK, NY 10034-1611
(646) 470-0639
(516) 490-7472
Mailing address
5030 BROADWAY STE 630, NEW YORK, NY 10034-1611
(646) 470-0639
(516) 490-7472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009976
NY
Other
Enumeration date
10/27/2017
Last updated
10/15/2021
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