Individual
JOSE PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 W 109TH ST APT 6B, NEW YORK, NY 10025-2533
(857) 258-8304
Mailing address
107 W 109TH ST APT 6B, NEW YORK, NY 10025-2533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JLJ723028326
—
NY
Enumeration date
04/11/2017
Last updated
04/11/2017
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