Attila J Polonyi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R052089 Issued in NY

Practice address

4 Dartmouth St Apt 72
#72
Forest Hills, NY 11375-5111

Phone

(917) 536-6090

Fax

(718) 246-9423

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1710186333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DARTMOUTH STREET",
            "address_2": "#72",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "917-536-6090",
            "fax_number": "718-246-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DARTMOUTH ST APT 72",
            "address_2": "#72",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755111",
            "telephone_number": "917-536-6090",
            "fax_number": "718-246-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONYI",
        "first_name": "ATTILA",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02437176",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PRESBYTERIAN COMMUNITY",
            "identifier": "98P3341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana NA Poletskaya, RN
• Vanessa Alexandra Polizzotto
• Judith S Pollack, LCSW
• Marina Pollack
• Maribel S Polo Bolano
• Danielle Polvanov, OD
• Daniel Gerard Pompa, D.D.S.
• Evan Rene Poncher, MD
• Justin C Popso, D.O.
• Jaimie Lynn Porter, OTR/L CBIS

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.