Healthcare Provider Details

I. General information

NPI: 1902726771
Provider Name (Legal Business Name): BERNADETTE POLSKY LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 BROADWAY STE 306
NEW YORK NY
10007-2038
US

IV. Provider business mailing address

145 HUDSON ST APT 13B
NEW YORK NY
10013-2122
US

V. Phone/Fax

Practice location:
  • Phone: 646-326-7094
  • Fax:
Mailing address:
  • Phone: 646-326-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number001291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: