Polanco Hernandez, Gustavo Emil

Polanco Hernandez, Gustavo Emil is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453-4303. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Polanco Hernandez, Gustavo Emil can be contacted via phone (718) 583-7736.

Contact Information

Primary practice address
2015 Grand Concourse Bronx NY 10453-4303
Phone: (718) 583-7736
Fax: (718) 537-6180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X PA9112633 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X PA9112633 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112633 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA9112633 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112633 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 029357 New York

Profile Details

NPI number 1013558188
LBN Legal business name Polanco Hernandez, Gustavo Emil
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Jan 12th, 2023 - about 3 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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