Individual
MS. LAURA PLOETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 MERRITTS RD, FARMINGDALE, NY 11735-1817
(516) 459-2939
(516) 586-4307
Mailing address
94 GARDINERS AVE STE 344, LEVITTOWN, NY 11756-3705
(516) 847-1277
(516) 586-4307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853G1
BLUE CROSS BLUE SHIELD
—
01
—
201285536
GALAXY
—
01
—
2036567
UHC
—
01
—
2C7632
HEALTHNET
—
01
—
36440P
HIP
—
01
—
7599365
GHI
—
01
—
AA70381A
MDNY
—
01
—
DN0351
PHS
—
01
—
P00221176
RR MCR
—
01
—
P2749398
OXFORD
—
Enumeration date
12/12/2006
Last updated
12/27/2024
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