PLAZA PODIATRY PLLC NPI 1114350212

NPI Information

NPI: 1114350212
Provider Name: PLAZA PODIATRY PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
325 MIDDLE COUNTRY RD
SUITE 4
SELDEN, NY
ZIP 11784
Phone: (631) 320-1990
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PLAZA PODIATRY PLLC is a foot and ankle surgery podiatrist in Selden, NY. PLAZA PODIATRY PLLC NPI is 1114350212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 MIDDLE COUNTRY RD
SUITE 4
SELDEN, NY
ZIP 11784-545
Phone: (631) 320-1990
Fax: (631) 320-1988

The provider's authorized official is Wendy A Baraban .
The authorized official title is Owner and has the following contact phone number (631) 320-1990.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 9/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	N005620	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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