MICHAEL POLIDORO

BAY SHORE, NY
NPI1043236375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009063)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
-- MICHAEL POLIDORO PA
375 E MAIN ST STE 1
BAY SHORE, NY 11706-8418
Phone number: 631-665-8790
Mailing Address
-- MICHAEL POLIDORO PA
375 E MAIN ST STE 1
BAY SHORE, NY 11706-8418
Phone number: 631-665-8790
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