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1811103898
LARISSA POLANCO
ELMHURST, NY
NPI
1811103898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 243513)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. LARISSA POLANCO MD
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3150
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Mailing Address
Dr. LARISSA POLANCO MD
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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