Provider Demographics
NPI:1972031623
Name:BURMIN, POLINA (LMHC)
Entity Type:Individual
Prefix:
First Name:POLINA
Middle Name:
Last Name:BURMIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 20TH ST # 4C4D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-1180
Mailing Address - Country:US
Mailing Address - Phone:718-431-8725
Mailing Address - Fax:718-431-8709
Practice Address - Street 1:164 20TH ST # 4C4D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1180
Practice Address - Country:US
Practice Address - Phone:718-431-8725
Practice Address - Fax:718-431-8709
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health