| Amelie Sophia Polanco, NP | |
|
5000 Brianna Ln Apt 12q, Secaucus, NJ 07094-4522 | |
| (347) 678-7782 | |
| Not Available |
| Full Name | Amelie Sophia Polanco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5000 Brianna Ln Apt 12q, Secaucus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265290993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 353797 (New York) | Primary |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Amelie Sophia Polanco, NP 5000 Brianna Ln Apt 12q, Secaucus, NJ 07094-4522 Ph: (347) 678-7782 | Amelie Sophia Polanco, NP 5000 Brianna Ln Apt 12q, Secaucus, NJ 07094-4522 Ph: (347) 678-7782 |
Annamarie Nass, MS, RN, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 714 10th St, Secaucus, NJ 07094 Phone: 201-863-3346 | |
Natalia Malygina, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1326 Riverside Station Blvd, Secaucus, NJ 07094 Phone: 917-291-5642 | |
Mrs. Sharon Y. Pagan, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-210-2870 | |
Mrs. Lilian Oguh, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 County Ave Bldg 10, Secaucus, NJ 07094 Phone: 201-369-5252 | |
Julie Yj An, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 10th St, Secaucus, NJ 07094 Phone: 201-863-3346 | |
Jaimie Lukacs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 714 10th St, Secaucus, NJ 07094 Phone: 201-863-3346 | |
Palina Antonovich, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 714 10th St, Secaucus, NJ 07094 Phone: 201-870-6099 Fax: 201-870-6098 |