Berta Polvanova

NPI 1730424201 · on the registry since 2012 · sole proprietor

Practice

Address: 9732 63rd Rd
Rego Park, NY 11374
Phone: (718) 539-3646
Organisation at this address: Fridmans Medical Pllc
Roma Rajs Physician Pc
Oksana Cohen Medical Pc
Fn Medical Services P.C
A & E Hearing Aid Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Optician
156FX1800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-10

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