Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Polidoro, PA

Individual provider Physician Assistant · NPI 1043236375

Michael Polidoro, PA is a Physician Assistant in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

375 E Main St Ste 1
Bay Shore, NY 11706-8418
Phone: (631) 665-8790
Fax: (631) 665-1581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009063 (NY)

Record details

NPI number1043236375
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 8, 2007

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