Provider Demographics
NPI:1477748515
Name:POLK, HUGH LENOX (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:LENOX
Last Name:POLK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:104 S OXFORD ST
Mailing Address - Street 2:THE SOCIAL THERAPY GROUP
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-797-3220
Mailing Address - Fax:212-941-0511
Practice Address - Street 1:104 S OXFORD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1608
Practice Address - Country:US
Practice Address - Phone:718-797-3220
Practice Address - Fax:212-941-0511
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1461832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry