Polyxena Medical Corporation PC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

POLYXENA MEDICAL CORPORATION PC

Practice address

1556 3Rd Ave
New York, NY 10128-3100

Phone

(212) 410-2539

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Tatiana Mamaeva, M.D.

Title

Owner

Phone

(212) 410-2539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1750541199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283100",
            "telephone_number": "212-410-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283100",
            "telephone_number": "212-410-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYXENA MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MAMAEVA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-410-2539",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Polyakov
• Alexandros Demetrios Polydorides, M.D., PH.D.
• Soteri Polydorou, M.D.
• Evan N. Polymeris, D.D.S., F.I.C.O.I.
• Vasilios M Polymeropoulos, M.D.
• Nunzio Pomara, M.D.
• Carolina Pombar, MD
• Monica Pombo, LCSW
• Pomegranate Psychological Services
• Sydney Fina Pomenti, M.D.

• Point of Service in New York, NY
• Providers in New York, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.