Angel Polanco CASAC

NPI 1467690479 - Counselor - 101YA0400X

NPI Details
NPI 1467690479
Gender Male
Enumeration Date 01/29/2009
Last Updated 01/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
819C E 161ST ST
BRONX NY, 10459-3951, US
Phone (718) 503-7763
Fax (718) 503-7751
Business Location
819C E 161ST ST
BRONX NY, 10459-3951, US
Phone (718) 503-7763
Fax (718) 503-7751
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 11802
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According to our database, Mr. Angel Polanco CASAC NPI is 1467690479, taxonomy code is 101YA0400X and license number is 11802, license state is located at New York. Angel Polanco CASAC physically located at 819c E 161st St, Bronx NY, 10459-3951. NPI Number Angel Polanco CASAC has the Individual type.

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1467690479 NPI number is provided on an as is basis without warranty of any kind. 1467690479 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Polanco CASAC are for informational purposes only.