National Provider Identifier
Brian Poligone, MD
Brian Poligone, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Fairport, NY and a listed phone number of (585) 364-1177.
Profile Overview
- NPI
- 1871798868
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- June 19, 2007
- Last Updated
- September 20, 2018
Practice Location
- 6800 Pittsford Palmyra RD Ste 150
- Fairport, NY 14450-3503
Phone: (585) 364-1177
Specialties
- Dermatology Physician (207N00000X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1871798868
- Entity Type
- Individual
- Last Name
- Poligone
- First Name
- Brian
- Credential
- MD
- Mailing Street Address
- 6800 Pittsford Palmyra RD Ste 150
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3503
- Mailing Country
- US
- Mailing Phone
- (585) 364-1177
- Practice Street Address
- 6800 Pittsford Palmyra RD Ste 150
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3503
- Practice Country
- US
- Practice Phone
- (585) 364-1177
- Enumeration Date
- June 19, 2007
- Last Updated
- September 20, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), Dermatology Physician (207N00000X)
- Other Identifiers
- 02990105 (NY)