Healthcare Provider Details

I. General information

NPI: 1487786331
Provider Name (Legal Business Name): PLANK MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 E 58TH ST SUITE 811
NEW YORK NY
10022-1236
US

IV. Provider business mailing address

133 E 58TH ST SUITE 811
NEW YORK NY
10022-1236
US

V. Phone/Fax

Practice location:
  • Phone: 212-838-1500
  • Fax: 212-838-1515
Mailing address:
  • Phone: 212-838-1500
  • Fax: 212-838-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010423
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number102007-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number027967
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number102007-1
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID PERNA
Title or Position: CLINIC MANAGER
Credential: DC
Phone: 212-838-1500