Individual
MR. JOSEPH LOUIS POLETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, ATC
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902-1638
(877) 925-3637
Mailing address
850 PACIFIC ST APT 756, STAMFORD, CT 06902-7372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2854
NY
2255A2300X
Athletic Trainer
Primary
999
CT
Other
Enumeration date
12/12/2019
Last updated
01/22/2024
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