Polan, Samuel

Polan, Samuel is an individual health care provider with primary practice located at 622 W 168Th St Orthodontics Department, New York NY 10032-3720. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Polan, Samuel can be contacted via phone (212) 305-7990.

Contact Information

Primary practice address
622 W 168Th St Orthodontics Department New York NY 10032-3720
Phone: (212) 305-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 057407 New York

Profile Details

NPI number 1386051753
LBN Legal business name Polan, Samuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated Jan 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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