Dr. Elliot S Pollack
Podiatrist
133 Hartford Ave
East Granby
, Connecticut 06026-9519
Dr. Elliot S Pollack
Podiatrist
133 Hartford Ave
East Granby
, Connecticut 06026-9519
(860) 653-6249
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Elliot S Pollack
- 133 Hartford Ave
- East Granby, CT
- Zip : 06026-9519
- Fax : (860) 653-6249
- Phone : (860) 653-4708
Second Address
- Dr. Elliot S Pollack
- 133 Hartford Ave
- East Granby, CT
- Zip : 06026-9519
- Fax : (860) 653-6249
- Phone : (860) 653-4708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000144 | CT |
| Y | 222Z00000X | Podiatrist | 000144 | CT |
National Provider Identifier
| NPI | 1073542312 |
|---|---|
| Provider Name | Dr. Elliot S Pollack |
| First Address | East Granby, CT 06026-9519 |
| Second Address | East Granby, CT 06026-9519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 11/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0610129323 | TAX ID (01) | CT |
| 0869800001 | MEDICARE DME (01) | CT |
| 0869800002 | MEDICARE DME (01) | CT |
| T22392 | (02) | CT |
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.