NPI 1073819819

Colin Andrew Polnitsky, MSWINTERN

Practitioner Addiction (Substance Use Disorder) Counselor Ithaca, NY

Practice location

Address: 201 E Green St, Ithaca, NY 14850-5635
Phone: (607) 274-6288
Fax: (607) 274-6280

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in New York →

Registry record

NPI: 1073819819
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2011
Record last updated: 26 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.