Individual provider · Type 1 NPI
Michael J. Polan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1821773573
Active
Practice location
15 2nd Ave Fl 3
Brooklyn, NY 11215-2711
Mailing address
30 E 95th St
New York, NY 10128-0718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405258 (NY) |
| Ambulatory Care Registered Nurse | 163WP2201X | 712808 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821773573
Michael J. Polan, PMHNP's National Provider Identifier is 1821773573, issued on Jun 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 18, 2023.