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Individual

MARIA M. PLUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
BLDG 1 NORTHERN BLVD, NYCOM, OLD WESTBURY, NY 11568
(516) 686-1327
Mailing address
PO BOX 8000, NORTHERN BLVD., OLD WESTBURY, NY 11568-8000
(516) 686-1327

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
189445
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02335702
NY
Enumeration date
04/06/2006
Last updated
02/26/2008
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