Polanco, Larissa
Polanco, Larissa is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Polanco, Larissa can be contacted via phone (718) 334-3150.Contact Information
Primary practice address
80Th St & 41St Ave
Elmhurst NY 11373-1329
Phone: (718) 334-3150
Fax: (718) 334-5958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 243513 | New York |
Profile Details
| NPI number | 1811103898 |
|---|---|
| LBN Legal business name | Polanco, Larissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811103898 | NPPES |
| New York | MEDICAID | 00246075 |
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