Provider Demographics
NPI:1104511641
Name:POLSKY, JAMES (JD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:POLSKY
Suffix:
Gender:M
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2103
Mailing Address - Country:US
Mailing Address - Phone:917-701-5551
Mailing Address - Fax:
Practice Address - Street 1:C/O STEVE TUBLIN
Practice Address - Street 2:19 HUDSON STREET, #204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:917-701-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst