Ethan G Polsky is a Pediatric Urology in Tampa, Florida. Ethan G Polsky practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Ethan G Polsky is 1871559740. The last update date is 2015-07-09.
Ethan G Polsky's current location address is 4712 N Armenia Ave, Tampa, Florida. You can contact this provider via phone number 8138747500 and fax number 8138771397. The mailing address for Ethan G Polsky is 4712 N Armenia Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan G Polsky |
|---|---|
| Address | 4712 N Armenia Ave, Tampa, Florida |
| Phone Number | 8138747500 |
| Fax Number | 8138771397 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871559740 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2015-07-09 |
Provider Mailing Address Detail
| Address | 4712 N Armenia Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336032611 |
| Phone Number | 8138747500 |
| Fax Number | 8138771397 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
| Licence No | ME95516 |
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Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 275204200 | FL | -- |
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What is the unique 10-digit identification code issued to Ethan G Polsky by the Centers for Medicare & Medicaid Services?
The Ethan G Polsky has been assigned the NPI (National Provider Identifier) 1871559740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ethan G Polsky?
The Ethan G Polsky is situated at 4712 N Armenia Ave, in the city of Tampa, state of FL, with the zip code 336032611.
What is the Ethan G Polsky's specialty and taxonomy code?
The Ethan G Polsky's specialty is Pediatric Urology, and the corresponding taxonomy code is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871559740 to Ethan G Polsky?
The Ethan G Polsky received its 1871559740 assignment from the Centers for Medicare & Medicaid Services on 2006-04-21.
As of what date was the information regarding Ethan G Polsky, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ethan G Polsky, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY