MR. MICHAEL C POLISENO APN
NPI 1073632956
Nurse Practitioner - Family in Merrick, NY

Active since March 29, 2007
2094 MERRICK AVE, MERRICK, NY 11566(516) 375-5904(516) 804-2784 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael C Poliseno Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL C POLISENO APN (NPI 1073632956) is an individual family provider in Merrick, New York, licensed in New York (F302312-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073632956
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL C POLISENOCredential: APN
Location Address2094 MERRICK AVEMerrick, NY 11566-3147
Mailing Address2094 Merrick AveMerrick, NY 11566-3147 · (516) 375-5904 · Fax (516) 804-2784
Fax(516) 804-2784
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 17, 2015
NPI 1073632956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F302312-1
2094 MERRICK AVE, Merrick, NY 11566

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2094 MERRICK AVE
MERRICK, NY 11566
Family Medicine
2094 MERRICK AVE
MERRICK, NY 11566
Internal Medicine
2094 MERRICK AVE
MERRICK, NY 11566
Contractor
2094 MERRICK AVE
MERRICK, NY 11566
Internal Medicine
2094 MERRICK AVE
MERRICK, NY 11566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Poliseno's NPI number?

The NPI number for Michael Poliseno is 1073632956. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Michael Poliseno located?

Michael Poliseno practices at 2094 Merrick Ave, Merrick, NY 11566. The listed phone number is (516) 375-5904.

What is Michael Poliseno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Michael Poliseno was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.