Provider Demographics
NPI:1275128696
Name:POLLACK, NAAMA (MD)
Entity type:Individual
Prefix:MRS
First Name:NAAMA
Middle Name:
Last Name:POLLACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVENUE
Mailing Address - Street 2:SUITE M100
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-472-3750
Mailing Address - Fax:516-472-3751
Practice Address - Street 1:1991 MARCUS AVENUE
Practice Address - Street 2:SUITE M100
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-472-3750
Practice Address - Fax:516-472-3751
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ1-138830208000000X
NY3115762080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics