Provider Demographics
NPI:1679897904
Name:POLINSKY, CARL E (RPH)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:E
Last Name:POLINSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 JEFFREY LN
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-5410
Mailing Address - Country:US
Mailing Address - Phone:845-339-3666
Mailing Address - Fax:845-339-3661
Practice Address - Street 1:150 JEFFREY LN
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:NY
Practice Address - Zip Code:12443-5410
Practice Address - Country:US
Practice Address - Phone:845-339-3661
Practice Address - Fax:845-339-3661
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist