Individual provider · Type 1 NPI

Laura Polito, PA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1023342003 Active

Practice location

256 Mason Ave, Building B- 2nd Floor
Staten Island, NY 10305-3408

Call (718) 226-1271 Map

Fax (718) 226-1247

Mailing address

8909 Bay 16th St Apt B1
Brooklyn, NY 11214-5923

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X013497 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1023342003

Laura Polito, PA-C's National Provider Identifier is 1023342003, issued on Sep 24, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Aug 1, 2011.