Individual
MR. ELMER R PLATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004018-1
NY
225100000X
Physical Therapist
Primary
40QA00133700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222054583
TAX IDENTIFICATION NUMBER
NJ
01
—
EP0Q554810
EMPIRE BCBS PROVIDER NO.
NY
Enumeration date
12/13/2006
Last updated
01/15/2008
Update your record
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