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: |