MEDICARE: DR. STEVEN PLOSKY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	028481	NY
2	1223G0001X	General Practice Dentistry	049780	NY

General Provider Information

NPI Number	:	1063435287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN PLOSKY DDS

Provider Business Mailing Address
First Line	:	33 WALT WHITMAN RD
Second Line	:	SUITE #115
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-427-4327
Fax Number	:	631-630-0197

Provider Business Practice Location Address
First Line	:	33 WALT WHITMAN RD
Second Line	:	SUITE #115
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-427-4327
Fax Number	:	631-630-0197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. STEVEN PLOSKY DDS” Practice Location

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