IndividualActive
Alex Polenick, PA-C
NPI 1003397654 · Medical Physician Assistant · Boardman, OH
Provider details
- NPI number
- 1003397654
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 50.005589RX (OH)
Practice location
1499 Boardman Canfield Rd
Boardman, OH 44512-4008
Phone: (330) 758-0577
Fax: (330) 533-4587
Mailing address
8591 Crossroads Drive
Youngstown, OH 44514
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.