Provider Demographics
NPI:1073629994
Name:POLLACK, ARYEH L (MD)
Entity type:Individual
Prefix:
First Name:ARYEH
Middle Name:L
Last Name:POLLACK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:345 E 37TH ST RM 212
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3256
Mailing Address - Country:US
Mailing Address - Phone:212-439-9009
Mailing Address - Fax:212-867-3862
Practice Address - Street 1:345 E 37TH ST RM 212
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-439-9009
Practice Address - Fax:212-867-3862
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204011207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY403B71Medicare ID - Type Unspecified
NYH34030Medicare UPIN