Individual provider · Type 1 NPI

Evangeline Polan

Specialist · Latham, NY

NPI number 1265794648 Active

Practice location

623 New Loudon Rd
Latham, NY 12110-4031

Call (518) 782-1178 Map

Mailing address

131 Edgecomb St
Albany, NY 12209-1309

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1265794648

Evangeline Polan's National Provider Identifier is 1265794648, issued on Jun 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Latham, NY. The record was last updated on Jun 12, 2012.