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: July 26, 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
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

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.

Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Case Manager/Care Coordinator
225 BROADHOLLOW RD
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Specialist
225 BROADHOLLOW RD
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747

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 with the weekly NPPES data releases published by CMS.