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MEDICAL OFFICE OF DOCTOR ILONA K POLAK PC
NPI 1699058958
Family Medicine in Sag Harbor, NY

Active since September 23, 2011CLIA 33D2089527 · Waiver
34 BAY ST # 103, SAG HARBOR, NY 11963(631) 808-3337(631) 808-3338 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Office Of Doctor Ilona K Polak Pc NPPES

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

MEDICAL OFFICE OF DOCTOR ILONA K POLAK PC (NPI 1699058958) is a healthcare organization registered as a family medicine in Sag Harbor, New York and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Ilona K Polak, President, as its authorized official.

NPPES Registry Identity

NPI1699058958
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL OFFICE OF DOCTOR ILONA K POLAK PC
Location Address34 BAY ST # 103Sag Harbor, NY 11963-3104
Mailing AddressPo Box 2986Sag Harbor, NY 11963-0402 · (631) 808-3337 · Fax (631) 808-3338
Phone(631) 808-3337
Fax(631) 808-3338
Organization SubpartNo
Authorized OfficialIlona K PolakPresident · (631) 727-6284
Enumeration DateSeptember 23, 2011
Last NPPES UpdateJanuary 19, 2015
✔ NPI 1699058958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 245282
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

34 BAY ST # 103, Sag Harbor, NY 11963
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Other Identifiers 1

Medicare PINA100062532NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2089527

Medical Office Of Doctor Ilona K Polak PC Dba Sag Harbor Medical Walk In · Sag Harbor, NY
Active · expires Jan 1, 2027
CLIA Number33D2089527
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorDr. Ilona K. Polak
Laboratory Phone(631) 808-3337
Laboratory LocationMedical Office Of Doctor Ilona K Polak PC Dba Sag Harbor Medical Walk In34 Bay Street, Sag Harbor, NY 11963
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MISS ILONA KATARZYNA POLAK M.D.
Family Medicine
34 BAY ST # 103
SAG HARBOR, NY 11963
Suffolk County (631) 808-3337

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 Medical Office Of Doctor Ilona K Polak PC's NPI number?

The NPI number for Medical Office Of Doctor Ilona K Polak PC is 1699058958. It was assigned to this organization in the NPPES registry on September 23, 2011.

Where is Medical Office Of Doctor Ilona K Polak PC located?

Medical Office Of Doctor Ilona K Polak PC is located at 34 Bay St # 103, Sag Harbor, NY 11963. The listed phone number is (631) 808-3337.

What is Medical Office Of Doctor Ilona K Polak PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medical Office Of Doctor Ilona K Polak PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2089527) is associated with this NPI, valid through January 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Office Of Doctor Ilona K Polak PC was last updated on January 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.