Healthcare Provider Details

I. General information

NPI: 1790736866
Provider Name (Legal Business Name): ANNA MARIA PLICHTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CASTLE POINT RD HVHCS - VA
CASTLE POINT NY
12511-9902
US

IV. Provider business mailing address

14 DAVID RD
SOMERS NY
10589-3008
US

V. Phone/Fax

Practice location:
  • Phone: 845-831-2000
  • Fax: 845-838-5274
Mailing address:
  • Phone: 914-248-0124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number171382
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number171382
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: