Individual
SETH POLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 INDEPENDENCE PLZ, SELDEN, NY 11784-2400
(631) 736-8969
Mailing address
349 INDEPENDENCE PLZ, SELDEN, NY 11784-2400
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006406
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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