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Organization

MICHAEL H POLCINO, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL POLCINO III MD (OWNER/PRESIDENT)
(631) 482-8134
Entity
Organization

Contact information

Practice address
796 DEER PARK AVE, NORTH BABYLON, NY 11703-4304
(631) 482-8134
Mailing address
796 DEER PARK AVE, NORTH BABYLON, NY 11703-4304
(631) 482-8134

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
254871
NY

Other

Enumeration date
12/16/2014
Last updated
12/16/2014
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