Individual provider · Type 1 NPI

Diana Marie Polovick, PA-C

Physician Assistant · Reston, VA

NPI number 1336045699 Active

Practice location

1860 Town Center Dr Ste 270
Reston, VA 20190-5899

Call (703) 318-8157 Map

Fax (703) 318-7525

Mailing address

4531 Swissvale Dr
Manlius, NY 13104-8503

Other practice locations

19455 Deerfield Ave Ste 206, Leesburg, VA 20176-8102 · (703) 858-9608

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336045699

Diana Marie Polovick, PA-C's National Provider Identifier is 1336045699, issued on Oct 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Reston, VA. The record was last updated on Oct 14, 2026.