Provider Demographics
NPI:1144428012
Name:POLANIA, LAURA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARIA
Last Name:POLANIA
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 1:17 1ST AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9431
Mailing Address - Country:US
Mailing Address - Phone:212-562-8151
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:20N 11 - BELLEVUE HOSPITAL CENTER. PSYCHIATRY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-263-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2398472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry