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LIORA POLVANOV
NPI 1265948020
Specialist in Melville, NY

Active since December 15, 2017
225 BROADHOLLOW RD, MELVILLE, NY 11747(631) 385-7780(631) 385-7795 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2019, Dec 15, 2017 (2 updates tracked since 2017).

About Liora Polvanov NPPES

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

LIORA POLVANOV (NPI 1265948020) is an individual specialist in Melville, New York and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1265948020
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLIORA POLVANOV
Location Address225 BROADHOLLOW RDMelville, NY 11747-4822
Mailing Address7000 Austin StForest Hills, NY 11375-1022
Phone(631) 385-7780
Fax(631) 385-7795
Sole ProprietorNo
Enumeration DateDecember 15, 2017
Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration
✔ NPI 1265948020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedBehavior TechnicianTaxonomy 106S00000X
225 BROADHOLLOW RD, Melville, NY 11747
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Other Providers at the Same Location NPPES 20

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

AILEEN HIGGINS
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
KIMBERLY FERNANDEZ
Case Manager/Care Coordinator
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MARINA ALBERTO
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MARIA ANTONELLA PELLEGRINO
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
KRISTIN ELIZABETH ROWE
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
FRANCES M FERRO
Specialist
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ADRIANNA ROSE JOHNSON
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
SARAH MAKOMVA
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780

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 Liora Polvanov's NPI number?

The NPI number for Liora Polvanov is 1265948020. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Liora Polvanov located?

Liora Polvanov practices at 225 Broadhollow Rd, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Liora Polvanov's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Liora Polvanov was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.