Provider Demographics
NPI:1245080167
Name:DELMONDEZ, POLIANNE
Entity type:Individual
Prefix:
First Name:POLIANNE
Middle Name:
Last Name:DELMONDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MADISON AVE APT 419
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2730
Mailing Address - Country:US
Mailing Address - Phone:347-622-6524
Mailing Address - Fax:
Practice Address - Street 1:1901 MADISON AVE APT 419
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2730
Practice Address - Country:US
Practice Address - Phone:347-622-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker