Healthcare Provider Details

I. General information

NPI: 1427007350
Provider Name (Legal Business Name): DAVID JOSEPH PLONSKY M.S., P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3552 WHITNEY AVE
HAMDEN CT
06518-1920
US

IV. Provider business mailing address

3552 WHITNEY AVE
HAMDEN CT
06518-1920
US

V. Phone/Fax

Practice location:
  • Phone: 475-238-8858
  • Fax: 475-238-8890
Mailing address:
  • Phone: 475-238-8858
  • Fax: 475-238-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007441
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: