Dean C Polistina MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

193200 Issued in NY

Legal business name

DEAN C POLISTINA MD PLLC

Practice address

200 W 57TH St
Suite 1410
New York, NY 10019-3211

Phone

(212) 957-6933

Fax

(212) 957-3477

NPI assigned

Feb 23, 2012

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dean C Polistina, MD

Title

Sole Member

Phone

(212) 957-6933

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1104190065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-957-6933",
            "fax_number": "212-957-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-957-6933",
            "fax_number": "212-957-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN C POLISTINA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "POLISTINA",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "212-957-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Deakin, LMFT
• Joshua Lawson Deal
• Stefon Deallie, AGACNP-BC, ACNP, RN
• Chrystianne Dealmeida, PH.D.
• Emma Dealy
• Dean G. Lorich, M.D. PC
• Dean McArthur Fulton LLC
• Jackson Dean-Brown, PA-C
• Heather Dean-Drummond, MA LP
• Adrian L Dean, RN

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.