Provider Demographics
NPI:1972485217
Name:POLIGROUP LLC
Entity type:Organization
Organization Name:POLIGROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:ROCCO
Authorized Official - Last Name:POLICASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-672-0780
Mailing Address - Street 1:PO BOX 5931
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-0183
Mailing Address - Country:US
Mailing Address - Phone:631-265-2183
Mailing Address - Fax:631-935-1075
Practice Address - Street 1:15 CALICO TREE RD
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2623
Practice Address - Country:US
Practice Address - Phone:631-265-2183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management