Individual
DR. LAURIE POLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 431-1600
(212) 431-7521
Mailing address
62 CROSBY ST, NEW YORK, NY 10012-4410
(212) 431-1600
(212) 431-7521
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
NY165531
NY
207ND0101X
MOHS-Micrographic Surgery Physician
165531
NY
207ND0900X
Dermatopathology Physician
165531
NY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
165531
NY
207NP0225X
Pediatric Dermatology Physician
Primary
165531
NY
Other
Enumeration date
03/03/2006
Last updated
09/11/2025
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