Jill Polenta's National Provider Identifier (NPI) Details
Jill Polenta,
NPI: 1194586032
Enumeration Date: 2024-01-18
Last updated: 2024-01-18
Sole Proprietor: NO
Status: active
Postal Address: 4726 161ST ST, FLUSHING, NY
Phone: 917-882-4800
Primary Practice Address: 4726 161ST ST, FLUSHING, NY
Practice's phone: 917-882-4800