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YANERIS ALTAGRACIA SUERO POLANCO MD

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1487273926
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
199 CHERRY ST, MILFORD, CT, 064603501
Phone
(203) 874-2543
Fax
(203) 874-2544

Specialties & Taxonomies

Internal Medicine License: NY #102156-01
Family Medicine Primary License: CT #79118

All Addresses

LOCATION

199 CHERRY ST

MILFORD, CT, 064603501

(203) 874-2543

MAILING

1181 TINTON AVE APT 1C

BRONX, NY, 104565464

(347) 358-5542