Individual
MS. RAYSA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 W 139TH ST APT 1, NEW YORK, NY 10031-7747
(646) 322-4679
Mailing address
508 W 139TH ST APT 1, NEW YORK, NY 10031-7747
(646) 322-4679
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
306889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306889
UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT
NY
Enumeration date
10/28/2016
Last updated
10/28/2016
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