Search › New York › 156FX1800X
Andrew Polan
NPI 1558411165 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2194 Nesconset Hwy Ste A
Stony Brook, NY 11790 - Phone
- (631) 246-5468
- Fax
- (631) 246-5442
- Organisation at this address
- Mammoth Optical
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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