Healthcare Provider Details
I. General information
NPI: 1982550737
Provider Name (Legal Business Name): LAURA PLANCHE MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6800 JERICHO TPKE STE 120W
SYOSSET NY
11791-4445
US
IV. Provider business mailing address
6800 JERICHO TPKE STE 120W
SYOSSET NY
11791-4445
US
V. Phone/Fax
- Phone: 917-651-7176
- Fax:
- Phone: 917-651-7176
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
PLANCHE
Title or Position: OWNER
Credential: MD
Phone: 917-651-7176