National Provider Identifier
Eric A Polise
Eric A Polise is listed in the NPPES registry with a primary specialty of Dentist in Geneva, NY and a listed phone number of (315) 781-2002.
Profile Overview
- NPI
- 1780707869
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 06, 2007
- Last Updated
- July 08, 2007
Practice Location
- 30 Elm Street
- Geneva, NY 14456
Phone: (315) 781-2002
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1780707869
- Entity Type
- Individual
- Last Name
- Polise
- First Name
- Eric
- Middle Name
- A
- Mailing Street Address
- 30 Elm Street
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456
- Mailing Country
- US
- Mailing Phone
- (315) 781-2002
- Mailing Fax
- (315) 781-2422
- Practice Street Address
- 30 Elm Street
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456
- Practice Country
- US
- Practice Phone
- (315) 781-2002
- Practice Fax
- (315) 781-2422
- Enumeration Date
- April 06, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 02571011 (NY)