| Doctor Name: | MRS. SANDRA POLLARO |
| NPI Number: | 1972838506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R |
| License Number: | 076330 |
| Business Practice Address: | 1153 Burgoyne Avenue Hudson Falls Central School District Fort Edward, NY - 12828 |
| Business Phone Number: | 5187472121 |
| Business Fax Number: | 5187470951 |
| Mailing Address: | 144 Farr Ln, QUEENSBURY |
| State: | NY |
| Postal Code: | 128041989 |
| Phone Number: | 5187930792 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2009 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 076330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |