Individual
LINA S PLANTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FAAD
Contact information
Practice address
2514 OCEAN AVE, BROOKLYN, NY 11229-3916
(718) 934-7373
(718) 648-9548
Mailing address
2514 OCEAN AVE, BROOKLYN, NY 11229-3916
(718) 934-7373
(718) 648-9548
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
74802680507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043457
GHI
NY
01
—
29246
BCBS
NY
Enumeration date
07/19/2005
Last updated
10/07/2010
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