Pollina, Robert M

Pollina, Robert M is an sole proprietor health care provider with primary practice located at 1110 Hallock Ave , Port Jefferson Station NY 11776-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Pollina, Robert M can be contacted via phone (631) 476-9100.

Contact Information

Primary practice address
1110 Hallock Ave Port Jefferson Station NY 11776-1210
Fax: (631) 476-4919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 186340 New York

Profile Details

NPI number 1013988088
LBN Legal business name Pollina, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Apr 1st, 2015 - about 9 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 1013988088 NPPES
New York MEDICAID 01658882

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