Edward J Poliandro, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21504R Issued in NY

Practice address

211 West 56 St.
Apt 16H
New York, NY 10019-4320

Phone

(212) 333-5821

NPI assigned

Sep 17, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1710389135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WEST 56 ST.",
            "address_2": "APT 16H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194320",
            "telephone_number": "212-333-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WEST 56 ST.",
            "address_2": "APT 16H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194320",
            "telephone_number": "212-333-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIANDRO",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "21504R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Polenberg, L.C.S.W.
• Hunter Polese, MSN, FNP-BC
• Zachary Benjamin Poliacoff, MD
• Cyrus Poliakoff, LCSW
• Yitzchok Aryeh Poliakoff, LCSW
• Camille Policastro-Singer
• Janine Jeramie Legaspi Poligrates
• Emily Polihrom
• Elizabeth Polin, DDS
• Jessica T Polin, RN

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Nov 6, 2014; 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.