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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN PLISKIN D.P.M.

MEDICARE:  DR. MICHAEL ALAN PLISKIN  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristN004904NY

General Provider Information

NPI Number : 1801891577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN PLISKIN D.P.M.
Provider Business Mailing Address
First Line : 75 S MIDDLE NECK RD
Second Line : STE LB
City : GREAT NECK
State : NY
Zip : 11021-3486
Country : US
Telephone Number : 516-487-8107
Fax Number : 516-487-3016
Provider Business Practice Location Address
First Line : 75 S MIDDLE NECK RD
Second Line : STE LB
City : GREAT NECK
State : NY
Zip : 11021-3486
Country : US
Telephone Number : 516-487-8107
Fax Number : 516-487-3016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 03/27/2008

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Directions to “ DR. MICHAEL ALAN PLISKIN D.P.M.” Practice Location

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