Polofsky, Robert

Polofsky, Robert is an sole proprietor health care provider with primary practice located at 221 Broadway Suite 207 , Amityville NY 11701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Polofsky, Robert can be contacted via phone (631) 598-0009.

Contact Information

Primary practice address
221 Broadway Suite 207 Amityville NY 11701
Phone: (631) 598-0009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 168859 New York

Profile Details

NPI number 1902830557
LBN Legal business name Polofsky, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Nov 1st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902830557 NPPES
New York Other 080142404 MEDICARE RAIL ROAD
New York Other RP097F4710 MEDICARE RAIL ROAD
New York MEDICAID 01558938 MEDICARE RAIL ROAD

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