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Mariana Polanco, LSA
Electroneurodiagnostic Specialist/Technologist in Teaneck, New Jersey
NPI 1679653596

Mariana Polanco is a Electroneurodiagnostic Specialist/Technologist based in Bayside, NJ and is specialized in Electroneurodiagnostic. Mariana Polanco practices in Teaneck, NJ and has the professional credentials of LSA. The NPI Number for Mariana Polanco is 1679653596 and holds a License No. SA00278 (New Jersey).

The current practice location address for Mariana Polanco is 1086 Teaneck Rd, Teaneck, NJ and can be reached out via phone at 281-703-2929.

Location: 1086 Teaneck Rd, Teaneck, NJ, 11361-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679653596
Provider Name
Mariana Polanco
Credential
LSA
Provider Entity Type
Individual
Gender
Female
Address
1086 Teaneck Rd, Teaneck, NJ, 11361-2807
Phone Number
281-703-2929
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1086 Teaneck Rd
City
Teaneck
State
New Jersey
Zip
07666-4854
Phone Number
281-703-2929
Fax Number
person
Provider Business Mailing Address Details
Address
1086 Teaneck Rd
City
Teaneck
State
New Jersey
Zip
07666-4854
Phone Number
281-703-2929
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
03-162 (Illinois)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
SA00278 (Texas)
Definition
Definition to come...
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