Provider Demographics
NPI:1124661335
Name:POLLOW, JOANN
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:POLLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-4230
Mailing Address - Country:US
Mailing Address - Phone:716-439-5400
Mailing Address - Fax:
Practice Address - Street 1:66 STEVENS ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-4230
Practice Address - Country:US
Practice Address - Phone:716-439-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist