| Alla M Plotkina Do Pc | |
|
78 Todt Hill Rd Staten Island NY 10314-4513 | |
| (718) 974-0016 | |
| Not Available |
| Full Name | Alla M Plotkina Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 78 Todt Hill Rd, Staten Island, New York |
| Authorized Official Name and Position | Alla M Plotkina (DO) |
| Authorized Official Contact | 7189740016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alla M Plotkina Do Pc 75 Sideview Ave Staten Island NY 10314-3250 Ph: (718) 974-0016 | Alla M Plotkina Do Pc 78 Todt Hill Rd Staten Island NY 10314-4513 Ph: (718) 974-0016 |
| NPI Number | 1124651526 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 08/13/2020 |
| Medicare PECOS PAC ID | 9234568379 |
|---|---|
| Medicare Enrollment ID | O20200410001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124651526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alla M Plotkina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881737757 PECOS PAC ID: 0749277713 Enrollment ID: I20040429001557 |
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