Provider Demographics
NPI:1740266048
Name:POLLINA, JOHN JR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:POLLINA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 GEORGE KARL BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7183
Mailing Address - Country:US
Mailing Address - Phone:716-218-1000
Mailing Address - Fax:716-200-1857
Practice Address - Street 1:40 GEORGE KARL BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7183
Practice Address - Country:US
Practice Address - Phone:716-218-1000
Practice Address - Fax:716-200-1857
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2019-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2015031207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00025504502OtherUNIVERA HEALTHCARE
140008109OtherRAILROAD MEDICARE
NY000526433005OtherBLUE CROSS BLUE SHIELD
NY02141977Medicaid
NY0611197OtherINDEPENDENT HEALTH
NY0611197OtherINDEPENDENT HEALTH
NY02141977Medicaid
NY000526433005OtherBLUE CROSS BLUE SHIELD