| Polaris Foundation Inc | |
|
24028 128th Ave Rosedale NY 11422-1002 | |
| (347) 962-0907 | |
| Not Available |
| Full Name | Polaris Foundation Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24028 128th Ave, Rosedale, New York |
| Authorized Official Name and Position | Kehinde Oludotun (PRESIDENT) |
| Authorized Official Contact | 3479620907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Foundation Inc 24028 128th Ave Rosedale NY 11422-1002 Ph: (347) 962-0907 | Polaris Foundation Inc 24028 128th Ave Rosedale NY 11422-1002 Ph: (347) 962-0907 |
| NPI Number | 1174450134 |
|---|---|
| Provider Enumeration Date | 05/05/2026 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174450134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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