Poligone, Brian

Poligone, Brian is an individual health care provider with primary practice located at 6800 Pittsford Palmyra Rd Ste 150 , Fairport NY 14450-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Poligone, Brian can be contacted via phone (585) 364-1177.

Contact Information

Primary practice address
6800 Pittsford Palmyra Rd Ste 150 Fairport NY 14450-3503
Phone: (585) 364-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 248958 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 045363 Connecticut

Profile Details

NPI number 1871798868
LBN Legal business name Poligone, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Sep 20th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871798868 NPPES
New York MEDICAID 02990105

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