person
Mr. Andrew Neil Polan
Optician in Stony Brook, New York
NPI 1558411165

Andrew Neil Polan is a Optician based in Stony Brook, NY and is specialized in Optician. Andrew Neil Polan practices in Stony Brook, NY. The NPI Number for Andrew Neil Polan is 1558411165 and holds a License No. 6197 (New York).

The current practice location address for Andrew Neil Polan is 2194 Nesconset Hwy Ste A, Stony Brook, NY and can be reached out via phone at 631-246-5468 and via fax at 631-246-5442.

Location: 2194 Nesconset Hwy Ste A, Stony Brook, NY, 11790-3500
person
Provider Profile Details
NPI Number
1558411165
Provider Name
Andrew Neil Polan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2194 Nesconset Hwy Ste A, Stony Brook, NY, 11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01679698 05 NY
institution
Provider Business Practice Location Address Details
Address
2194 Nesconset Hwy Ste A
City
State
Zip
11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
person
Provider Business Mailing Address Details
Address
2194 Nesconset Hwy Ste A
City
State
Zip
11790-3500
Phone Number
631-246-5468
Fax Number
631-246-5442
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
6197 (New York)
Definition
Definition to come...
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