# ANTOINETTE PLOCEK NOTARO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235540352
- **Authorized official:** DR. ANTOINETTE NOTARO M.D. (PRESIDENT)
- **Authorized official phone:** (631) 298-1122

## Contact information

- **Practice address:** 13405 MAIN ROAD, MATTITUCK, NY 11952
- **Practice address phone:** (631) 298-1122
- **Practice address fax:** (631) 298-1128
- **Mailing address:** PO BOX 93, MATTITUCK, NY 11952-0093
- **Mailing address phone:** (631) 298-1122
- **Mailing address fax:** (631) 298-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 139181 | NY | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 06/06/2014