DR. JILL POLLER POLLER


Address: 11 Riverside Dr Apt 1pw, New York, NY 10023-2533
Phone: 2127870331

DR. JILL POLLER POLLER (NPI# 1598957789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598957789
Entity Type Individual
Full Name DR. JILL POLLER POLLER
Credential PSY. D.
Practice Address 11 Riverside Dr Apt 1pw
New York
NY 10023-2533
Practice Telephone 2127870331
Mailing Telephone 2127870331
Enumeration Date 2007-08-13
Last Update Date 2007-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
6400 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PSYCHOLOGIST LICENSE 6400 01

Office Location

Street Address 11 RIVERSIDE DR APT 1PW
City NEW YORK
State NY
Zip Code 10023-2533

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1811439656 Cecily Anders Psychologist 210 6th Ave Apt 1a, New York, NY 10014-4904 2016-11-10
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1669829743 Alana Gross Psychologist 43 W 89th St, New York, NY 10024-2002 2016-05-19
1124497169 Jeneane Solz Psychologist 53 E 96th St Ofc 1a, New York, NY 10128-0815 2015-09-21
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Competitor

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City NEW YORK
Zip Code 10023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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