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NPI Code Detail

MEDICARE: HARVEY B POLLAK MD

MEDICARE: HARVEY B POLLAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician114678NY

General Provider Information

NPI Number : 1629032792
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARVEY B POLLAK MD
Provider Business Mailing Address
First Line : 2800 MARCUS AVE
Second Line :
City : LAKE SUCCESS
State : NY
Zip : 11042-1008
Country : US
Telephone Number : 516-622-6040
Fax Number : 516-622-6091
Provider Business Practice Location Address
First Line : 2800 MARCUS AVE
Second Line :
City : LAKE SUCCESS
State : NY
Zip : 11042-1008
Country : US
Telephone Number : 516-622-6040
Fax Number : 516-622-6091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 07/08/2007

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