# PLAZA PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WENDY BARABAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114350212
- **Legal business name:** WENDY BARABAN
- **Authorized official:** WENDY A BARABAN DPM (OWNER)
- **Authorized official phone:** (631) 320-1990

## Contact information

- **Practice address:** 325 MIDDLE COUNTRY RD, SUITE 4, SELDEN, NY 11784-2545
- **Practice address phone:** (631) 320-1990
- **Practice address fax:** (631) 320-1988
- **Mailing address:** 325 MIDDLE COUNTRY RD, SUITE 4, SELDEN, NY 11784-2545
- **Mailing address phone:** (631) 320-1990
- **Mailing address fax:** (631) 320-1988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N005620 | NY | Yes |

## Other

- **Enumeration date:** 08/13/2013
- **Last updated:** 09/26/2014