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Contact Information

ILONA K POLAK, MD
34 BAY ST # 103
SAG HARBOR, NY11963-3104
 Phone: 631-808-3337
 Fax: 631-808-3339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ILONA K POLAK · (Female)

NPI Number 1346432077
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2007
Last updated 03/24/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 245282-1
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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