PLAZA MEDICAL & DIAGNOSTIC P.C. NPI 1619091956

NPI Information

NPI: 1619091956
Provider Name: PLAZA MEDICAL & DIAGNOSTIC, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
752 PARK AVE
HUNTINGTON, NY
ZIP 11743
Phone: (631) 385-0207
Get Directions

PLAZA MEDICAL & DIAGNOSTIC, P.C. is a family medicine in Huntington, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PLAZA MEDICAL & DIAGNOSTIC, P.C. NPI is 1619091956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

752 PARK AVE
HUNTINGTON, NY
ZIP 11743-900
Phone: (631) 385-0207
Fax: (631) 385-1272

The provider's authorized official is Dean Lombardo .
The authorized official title is Administrator and has the following contact phone number (631) 385-0207.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 3/4/2013.

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	207Q00000X	Family Medicine		108320	NEW YORK	Yes
2	207Q00000X	Family Medicine		233446	NEW YORK	No
3	207Q00000X	Family Medicine		224877	NEW YORK	No
4	207QA0401X	Family Medicine	Addiction Medicine	108320	NEW YORK	No
5	207QG0300X	Family Medicine	Geriatric Medicine	108320	NEW YORK	No
6	208100000X	Physical Medicine & Rehabilitation		155061	NEW YORK	No
7	208100000X	Physical Medicine & Rehabilitation		097663	NEW YORK	No
8	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	155061	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W2L941	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GROUP NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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