Dr. Larissa Polanco
MD | Pediatrics | Female
Dr. Larissa Polanco, MD is a Elmhurst, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Larissa Polanco is
80th St & 41st Ave, Elmhurst, New York - 11373-1329. She can be contacted on phone at
718-334-3150 and fax number 718-334-5958.
Dr. Larissa Polanco is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Larissa Polanco is
1811103898 which was assigned by NPPES on 15 May, 2007 and it was last updated on 08 Jul, 2007.
Dr. Larissa Polanco license number is
243513 for Pediatrics (208000000X) in New York.
Dr. Larissa Polanco is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Larissa Polanco basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Larissa Polanco |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Larissa Polanco address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 80th St & 41st Ave
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-3150 |
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| Fax Number : | 718-334-5958 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811103898 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 May, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larissa Polanco are as mentioned. Primary taxonomy code for Dr. Larissa Polanco, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 243513 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larissa Polanco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00246075 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 79-01 Broadway, Managed Care, D1-01
Elmhurst, NY, 11373-1329
United States |
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| Phone Number : | 718-334-1921 |
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| Fax Number : | 718-334-3432 |
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Business Location:
Patients can refer following map for directions to
Dr. Larissa Polanco practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.