Bradley Polan
Ophthalmic
8202 37th Ave
Jackson Heights
, New York 11372-7023
Bradley Polan
Ophthalmic
8202 37th Ave
Jackson Heights
, New York 11372-7023
(718) 205-0963
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Bradley Polan
- 8202 37th Ave
- Jackson Heights, NY
- Zip : 11372-7023
- Fax : (718) 205-0963
- Phone : (718) 478-3539
Second Address
- Bradley Polan
- 8202 37th Ave
- Jackson Heights, NY
- Zip : 11372-7023
- Fax : (718) 205-0963
- Phone : (718) 478-3539
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | 006299-2 | NY |
National Provider Identifier
| NPI | 1598017840 |
|---|---|
| Provider Name | Bradley Polan |
| First Address | Jackson Heights, NY 11372-7023 |
| Second Address | Jackson Heights, NY 11372-7023 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2012 |
| Last Update Date | 11/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.