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

Mrs. Lucille Polidoro, TEACHER

Individual provider Early Intervention Provider Agency · NPI 1689047060

Mrs. Lucille Polidoro, TEACHER is an Early Intervention Provider Agency in Woodbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

15 Harvard Dr
Woodbury, NY 11797-3306
Phone: (347) 432-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 590249051 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X (NY)

Record details

NPI number1689047060
Entity typeIndividual (Type 1)
GenderFemale
Credentials TEACHER
Sole proprietorYes
NPI enumeratedNovember 5, 2015
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

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