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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GUSTAVO EMIL POLANCO HERNANDEZ, PA

Active

GUSTAVO EMIL POLANCO HERNANDEZ, PA is a Physician Assistant healthcare provider located in BRONX, New York. NPI 1013558188 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BRONX, NY

Registration Details

NPI Number
1013558188
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2019 (6.8989626542676 yrs)
Last Updated
Jan 12, 2023
Licenses
PA9112633 (FL)
PA9112633 (FL)
PA9112633 (FL)
PA9112633 (FL)
PA9112633 (FL)

Practice Information

Address
2015 GRAND CONCOURSE
BRONX, NY, 104534303
Browse NY providers · Browse ZIP 10453
Phone
7185837736
Fax
7185376180
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Psychiatry
Additional Specialty
Physician Assistant
Additional Specialty
Neurological Surgery
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in BRONX, NY

Name Credential NPI
JENNIFER C. VINCENT P.A. 1912902701
CARLOS M GONZALEZ PA 1497752711
MS. CLAUDIA L CHANG PA-C 1528067964
HALE I PERLMUTTER RPAC 1417942202
BRIDGET BAKER PA-C 1902897333
CHARLENE CRUZ-ROBERTSON PA 1629041652
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.