| Ari Poliakoff Llc | |
|
3211 Fallstaff Rd Baltimore MD 21215-1720 | |
| (410) 340-2443 | |
| Not Available |
| Full Name | Ari Poliakoff Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3211 Fallstaff Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Ari Poliakoff (OWNER) |
| Authorized Official Contact | 3478780485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ari Poliakoff Llc 3211 Fallstaff Rd Baltimore MD 21215-1720 Ph: (347) 878-0485 | Ari Poliakoff Llc 3211 Fallstaff Rd Baltimore MD 21215-1720 Ph: (410) 340-2443 |
| NPI Number | 1285223636 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 3678954385 |
|---|---|
| Medicare Enrollment ID | O20220712004219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285223636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yitzchok Poliakoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518334879 PECOS PAC ID: 3971918228 Enrollment ID: I20220712004231 |
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