Organization
LAURA PLOETZKE ADULT HEALTH NURSE PRACTITIONER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PLOETZKE NP (OWNER)
(516) 864-0040
Entity
Organization
Contact information
Practice address
1 MERRITT RD, FARMINGDALE, NY 11735-1817
(516) 459-2939
Mailing address
1 MERRITT RD, FARMINGDALE, NY 11735-1817
(516) 864-0040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F300672-01
LICENSE
NY
Enumeration date
07/29/2013
Last updated
12/31/2024
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