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1104964410
ROBERT DAVID POLIN
PORT JEFFERSON, NY
NPI
1104964410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R0233061)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Mr. ROBERT DAVID POLIN LCSW
646 MAIN ST LOWER LEVEL
PORT JEFFERSON, NY 11777
Phone number: 631-689-8862
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Mailing Address
Mr. ROBERT DAVID POLIN LCSW
117 GNARLED HOLLOW ROAD
EAST SETAUKET, NY 11733
Phone number: 631-689-8862
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