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Specialty details in registry · Plainview, NY

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At a glance

48 Birch Dr, Plainview, NY 11803-2821

NPPES record updated May 17, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

48 Birch Dr
Plainview, NY 11803-2821
Professional details: NPI, taxonomy & registry record
NPI1861241135
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QD1600X
Enumeration date
May 17, 2024
Record updated
May 17, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

104100000X

Specialty details in registry

171400000X

Specialty details in registry

261QD1600X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

48 Birch Dr
Plainview, NY 11803-2821
Phone
(516) 620-0488
Mailing address
48 BIRCH DR

PLAINVIEW, NY 118032821
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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