Ilona K Polak (NPI# 1346432077, PAC ID# 8123203544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346432077 |
| PAC ID by PECOS | 8123203544 |
| Professional Enrollment ID | I20110429000182 |
| Full Name | Ilona K Polak |
| Address |
34 Bay St Suite 103 Sag Harbor NY 11963-3104 |
| Gender | F |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 34 Bay St, Suite 103, Sag Harbor, NY 11963-3104 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 4% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
34 BAY ST SUITE 103 |
| City | SAG HARBOR |
| State | NY |
| Zip | 11963-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne J Kirby | Chiropractic | 34 Bay St, Sag Harbor, NY 11963-3104 | |
| George J Wilson | Physical Therapy | 34 Bay St, Suite 206, Sag Harbor, NY 11963-3104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jo Anne Maynard | Nurse Practitioner | Mskcc Regional Network | 26 S Harbor Dr, North Haven, NY 11963-1215 |
| Mark A Halsey | Dermatology | 3350 Noyac Rd, Sag Harbor, NY 11963-1908 | |
| Karen B Weisz | Nurse Practitioner | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Elizabeth P White-fricker | Family Medicine | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Jason T Schwartz | Family Medicine | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Jill A Muse | Nurse Practitioner | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Diana Immenhausen | Family Medicine | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Catherine A Duffy | Occupational Therapy | Advanced Occupational Therapy Services, P.C. | 3330 Noyac Rd C, Sag Harbor, NY 11963-1931 |
| Richard Jay Richter | Podiatry | 3330 Noyac Rd Bldg B, Sag Harbor, NY 11963-1931 | |
| Molly A Piekut | Occupational Therapy | Advanced Occupational Therapy Services, P.C. | 3330 Noyac Rd C, Sag Harbor, NY 11963-1931 |
| Find all physicians in zip 11963 | |||
| City | SAG HARBOR |
| Zip Code | 11963 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAG HARBOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ilona K Polak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.