National Provider Identifier
Maria Remedios Lelis Polito, AGNP
Maria Remedios Lelis Polito, AGNP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in North Tonawanda, NY and a listed phone number of (716) 857-0095.
Profile Overview
- NPI
- 1255057519
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- October 18, 2022
- Last Updated
- October 18, 2022
Practice Location
- 637 Fairmont Avenue
- North Tonawanda, NY 14120
Phone: (716) 857-0095
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1255057519
- Entity Type
- Individual
- Last Name
- Polito
- First Name
- Maria Remedios
- Middle Name
- Lelis
- Name Prefix
- Mrs.
- Credential
- AGNP
- Mailing Street Address
- 637 Fairmont Avenue
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120
- Mailing Country
- US
- Mailing Phone
- (716) 857-0096
- Mailing Fax
- (716) 389-3915
- Practice Street Address
- 637 Fairmont Avenue
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120
- Practice Country
- US
- Practice Phone
- (716) 857-0095
- Practice Fax
- (716) 389-3915
- Enumeration Date
- October 18, 2022
- Last Updated
- October 18, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)