SAMUEL ANTONIO RODRIGUEZ POLANCO

BELLEROSE, NY
NPI1336771260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: NY  18-152)
Enumeration Date2020-02-08
Last Update Date2020-02-08
Business Address
SAMUEL ANTONIO RODRIGUEZ POLANCO SA-C
8824 242ND ST
BELLEROSE, NY 11426-1241
Phone number: 781-346-7191
Mailing Address
SAMUEL ANTONIO RODRIGUEZ POLANCO SA-C
8824 242ND ST
BELLEROSE, NY 11426-1241
Phone number: 781-346-7191