Individual provider · Type 1 NPI

Mariana Polanco, L.S.A.

Electroneurodiagnostic Specialist/Technologist · Teaneck, NJ

NPI number 1679653596 Active

Practice location

1086 Teaneck Rd
Teaneck, NJ 07666-4854

Call (281) 703-2929 Map

Mailing address

21109 42nd Ave Apt 1C
Bayside, NY 11361-2807

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist 246Z00000XSA00278 (TX)
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X03-162 (IL)

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1679653596

Mariana Polanco, L.S.A.'s National Provider Identifier is 1679653596, issued on Oct 16, 2006. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Teaneck, NJ. The record was last updated on May 1, 2013.