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Organization
PLAZA MEDICAL & DIAGNOSTIC, P.C.
Active
Organization
PLAZA MEDICAL & DIAGNOSTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN LOMBARDO (ADMINISTRATOR)
(631) 385-0207
Entity
Organization
Contact information
Practice address
752 PARK AVE, HUNTINGTON, NY 11743-3900
(631) 385-0207
(631) 385-1272
Mailing address
752 PARK AVE, HUNTINGTON, NY 11743-3900
(631) 385-0207
(631) 385-1272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108320
NY
207Q00000X
Family Medicine Physician
224877
NY
207Q00000X
Family Medicine Physician
233446
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
108320
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
108320
NY
208100000X
Physical Medicine & Rehabilitation Physician
097663
NY
208100000X
Physical Medicine & Rehabilitation Physician
155061
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
155061
NY
Other
Enumeration date
03/19/2007
Last updated
03/04/2013
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