NPI 1316620313

Julio Polanco Taveras

Practitioner Licensed Practical Nurse Stamford, CT

Practice location

Address: 180 Broad St APT 1241, Stamford, CT 06901-5004
Phone: (845) 200-8233

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 340160 (NY)

Other Licensed Practical Nurse providers in Connecticut →

Registry record

NPI: 1316620313
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2023
Record last updated: 8 Aug 2023

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.