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Contact Information

MARIANA POLANCO, L.S.A.
1086 TEANECK RD
TEANECK, NJ07666-4854
 Phone: 281-703-2929
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
 

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for MARIANA POLANCO · (Female)

NPI # 1679653596
Status Active
Credentials L.S.A.
Entity Individual
Enumeration date 10/16/2006
Last updated 05/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 03-162
  • TX License # SA00278
Hospital affiliation(s) Not Available
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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