Individual
CHANA POLISHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 ROOSEVELT ST, FAR ROCKAWAY, NY 11691-5247
(516) 710-5642
Mailing address
802 ROOSEVELT ST, FAR ROCKAWAY, NY 11691-5247
(516) 710-5642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
649689
NY
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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