# MR. ELMER R PLATZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407917214
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 004018-1 | NY | — |
| 225100000X | Physical Therapist | 40QA00133700 | NJ | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 01/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 222054583 | TAX IDENTIFICATION NUMBER | NJ |
| 01 | — | EP0Q554810 | EMPIRE BCBS PROVIDER NO. | NY |