Individual provider · Type 1 NPI
Brianne Patricia Jelley Polehinke, PA-C
Surgical Physician Assistant · New Hyde Park, NY
NPI number
1215775200
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1215775200
Brianne Patricia Jelley Polehinke, PA-C's National Provider Identifier is 1215775200, issued on Jul 16, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Hyde Park, NY. The record was last updated on May 7, 2025.