MARY LAKE POLAN M.D. NPI 1336164623

NPI Information

  • NPI: 1336164623
  • Provider Name: MARY LAKE POLAN, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 16 E 60TH ST
    NEW YORK, NY
    ZIP 10022
  • Phone: (212) 326-5765

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NPI Details

Mary Lake Polan, M.D. is an obstetrics gynecology in New York, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mary Lake Polan, M.D. NPI is 1336164623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16 E 60TH ST
NEW YORK, NY
ZIP 10022-002
Phone: (212) 326-5765

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology238536-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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