Individual
WILLIAM REILLY POLKINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L-229339
MA
2085R0001X
Radiation Oncology Physician
Primary
247221
NY
Other
Enumeration date
02/27/2007
Last updated
07/19/2012
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