Individual provider · Type 1 NPI

Mary Lake Polan, MD

Obstetrics & Gynecology Physician · New York, NY

NPI number 1336164623 Active

Practice location

16 E 60th St
New York, NY 10022-1002

Call (212) 326-5765 Map

Mailing address

622 W 168th St
New York, NY 10032-3720

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X238536-1 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1336164623

Mary Lake Polan, MD's National Provider Identifier is 1336164623, issued on Jul 13, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.