Staci E Pollack
Obstetrics & Gynecology (Reproductive Endocrinology)

Address: Mmc - I.r.m.h., 141 South Central Avenue Suite 201, Hartsdale, NY 10530
Phone: 9149971060

Staci E Pollack (NPI# 1255411815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255411815
Entity Type Individual
Full Name Staci E Pollack
Credential MD
Gender Female
Practice Address Mmc - I.r.m.h.
141 South Central Avenue Suite 201
Hartsdale
NY 10530
Practice Telephone 9149971060
Mailing Address 75 Vine Rd
Larchmont
NY 10538-1216
Mailing Fax Number 9149971099
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-17
Last Update Date 2011-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207VE0102X Obstetrics & Gynecology · Reproductive Endocrinology Allopathic & Osteopathic Physicians 210835 NY

Physician Overview

NPI 1255411815
PAC ID by PECOS 7618959941
Professional Enrollment ID I20040602000270
Full Name Staci E Pollack
Organization Legal Name MONTEFIORE MEDICAL CENTER
Phone Number 7189204321
Gender F
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1992
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 3779496021
Number of Group Practice Members 1588
Accepts Medicare Assignment M
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330059 MONTEFIORE MEDICAL CENTER

Office Location

Street Address MMC - I.R.M.H.
141 SOUTH CENTRAL AVENUE SUITE 201
City HARTSDALE
State NY
Zip Code 10530

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Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720168206 Judi L Chervenak Obstetrics & Gynecology Mmc - I.r.m.h, 141 South Central Avenue, Hartsdale, NY 10530 2006-10-17
1609045194 Hussein K Amin Salem Obstetrics & Gynecology 141 South Central Avenue, Hartsdale, NY 10530 2008-02-28
1558558452 Erkan Buyuk Obstetrics & Gynecology 141 S Central Ave, Hartsdale, NY 10530-2319 2007-09-25
1043390511 Genevieve S Neal-perry Obstetrics & Gynecology 141 S Central Ave, Suite 210, Hartsdale, NY 10530 2006-10-17
1275613739 Harry J Lieman Obstetrics & Gynecology Mmc - I.r.m.h, 141 South Central Avenue, Hartsdale, NY 10530 2006-10-17
1275623555 Christina Veit Obstetrics & Gynecology 141 S Central Ave, Suite 201, Hartsdale, NY 10530-2319 2006-10-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1053661900 Frances Halpern Taney Obstetrics & Gynecology 5 Twin Ponds St, Great Neck, NY 11024-1526 2012-09-18
1871854604 Fatma A Aleem Obstetrics & Gynecology 120 East 81st Street, 9a, New York, NY 10028-1433 2012-06-07
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1053601971 Chantae Sullivan-pyke Obstetrics & Gynecology 506 6th St # 4kp, Brooklyn, NY 11215-3609 2011-04-12
1568787133 Jovana Lekovich Obstetrics & Gynecology 26 Court St Ste 2710, Brooklyn, NY 11242-1127 2010-04-07
1386878130 Bat-sheva Lerner Maslow Obstetrics & Gynecology 200 W 57th St Ste 1101, New York, NY 10019-3240 2009-05-08
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City HARTSDALE
Zip Code 10530

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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