Search › New Jersey › 363AM0700X
Michelle Polyak
NPI 1447961255 · on the registry since 2022 · sole proprietor
Practice
- Address
- 801 Lexington Ave Apt 4a
Lakewood, NJ 08701 - Phone
- (610) 715-6567
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey