IndividualActive
Alan Polnariev
NPI 1629363718 · Geriatric Pharmacist · Lyons, NJ
Provider details
- NPI number
- 1629363718
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 28RI03210300 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
151 Knollcroft Rd
Lyons, NJ 07939-5001
Phone: (973) 908-1600
Approximate (ZIP-level) locationGet directions
Mailing address
60 Claradon Ln
Staten Island, NY 10305-2809
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2011-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.