SearchNew York101YA0400X

Angel Polanco, CASAC

NPI 1467690479 · on the registry since 2009 · sole proprietor

Practice

Address
819c E 161st St
Bronx, NY 10459
Phone
(718) 503-7763
Fax
(718) 503-7751

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-29

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 York