Doctor Name: | DR. ROBERT M POLLINA |
NPI Number: | 1013988088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 186340 |
Business Practice Address: | 1110 Hallock Ave Port Jefferson Station, NY - 117761210 |
Business Phone Number: | 6314769100 |
Business Fax Number: | 6314764919 |
Mailing Address: | 1110 Hallock Ave, PORT JEFFERSON STATION |
State: | NY |
Postal Code: | 117761210 |
Phone Number: | 6314769100 |
Fax Number: | 6314764919 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 186340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |