Provider Demographics
NPI:1073906418
Name:POLLACK & ASSOCIATES
Entity Type:Organization
Organization Name:POLLACK & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLACK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-721-5220
Mailing Address - Street 1:525 E 12TH ST
Mailing Address - Street 2:#CF
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3950
Mailing Address - Country:US
Mailing Address - Phone:212-721-5220
Mailing Address - Fax:
Practice Address - Street 1:525 E 12TH ST
Practice Address - Street 2:#CF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3950
Practice Address - Country:US
Practice Address - Phone:212-721-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024119-1261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech