Dr Larissa Polanco, MD | |
80th St & 41st Ave, Elmhurst, NY 11373-1329 | |
(718) 334-3150 | |
(718) 334-5958 |
Full Name | Dr Larissa Polanco |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 80th St & 41st Ave, Elmhurst, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811103898 | NPI | - | NPPES |
00246075 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 243513 (New York) | Primary |
Mailing Address | Practice Location Address |
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Dr Larissa Polanco, MD 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 Ph: (718) 334-1921 | Dr Larissa Polanco, MD 80th St & 41st Ave, Elmhurst, NY 11373-1329 Ph: (718) 334-3150 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |