Healthcare Provider Details

I. General information

NPI: 1801092127
Provider Name (Legal Business Name): CATHERINE LAIBLE PLUMMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE NOELLE LAIBLE MD

II. Dates (important events)

Enumeration Date: 06/24/2007
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WESTCHESTER AVE
PURCHASE NY
10577-2574
US

IV. Provider business mailing address

3030 WESTCHESTER AVE
PURCHASE NY
10577-2574
US

V. Phone/Fax

Practice location:
  • Phone: 914-848-8870
  • Fax: 914-848-8871
Mailing address:
  • Phone: 914-848-8870
  • Fax: 914-848-8871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number259472
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: