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Individual

DR. SANFORD RONALD PLESKOW

Active
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Individual

DR. SANFORD RONALD PLESKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
130091
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010290501
EXCELLUS
NY
01
—
0400964
INDEPENDENT HEALTH
NY
01
—
1300912
GHI
NY
01
—
4266681
AETNA
NY
01
—
J400016460
MEDICARE PTAN
NY
Enumeration date
02/15/2006
Last updated
02/18/2014
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