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1073632956
MICHAEL C POLISENO
MERRICK, NY
NPI
1073632956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F302312-1)
Enumeration Date
2007-03-29
Last Update Date
2015-08-17
Business Address
Mr. MICHAEL C POLISENO APN
2094 MERRICK AVE
MERRICK, NY 11566-3147
Phone number: 516-375-5904
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Mailing Address
Mr. MICHAEL C POLISENO APN
2094 MERRICK AVE
MERRICK, NY 11566-3147
Phone number: 516-375-5904
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