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

Samuel Antonio Rodriguez Polanco, SA-C

Individual provider Surgical Assistant · NPI 1336771260

Samuel Antonio Rodriguez Polanco, SA-C is a Surgical Assistant in Bellerose, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

8824 242nd St
Bellerose, NY 11426-1241
Phone: (781) 346-7191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 18-152 (NY)

Record details

NPI number1336771260
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedFebruary 8, 2020
Last updated in NPPESFebruary 8, 2020
Certification dateFebruary 8, 2020