Julio Polanco Taveras
Julio Polanco Taveras is a Licensed Practical Nurse in Stamford, Connecticut. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
180 Broad St Apt 1241Stamford, CT 06901-5004
Phone: (845) 200-8233
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 340160 (NY) |
|---|
Record details
| NPI number | 1316620313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
| Mailing address | 180 Broad St Apt 1241, Stamford, CT 06901-5004 |
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