LARISSA POLANCO

ELMHURST, NY
NPI1811103898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NY  243513)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Dr. LARISSA POLANCO MD
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3150
Mailing Address
Dr. LARISSA POLANCO MD
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921