(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003536350
Provider Name: POLINA NISANOVA
Entity Type: Individual
Taxonomy Code: 235Z00000X
Specialty: Speech-Language Pathologist
License Number:
Most Important Dates
Enumeration Date: 08/29/2022
Last Updated: 08/29/2022
Provider Practice Location
385 OCEAN PKWY FL 2
BROOKLYN
NY
112184754
Practice Location Phone/Fax
Phone: 6465003448
Fax:
Provider Mailing Location
385 OCEAN PKWY FL 2
BROOKLYN
NY
112184754
Provider Mailing Phone/Fax
Phone: 6465003448
Fax: