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1336164623
MARY LAKE POLAN
NEW YORK, NY
NPI
1336164623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 238536-1)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- MARY LAKE POLAN M.D.
16 E 60TH ST
NEW YORK, NY 10022-1002
Phone number: 212-326-5765
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Mailing Address
-- MARY LAKE POLAN M.D.
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-4098
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