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Individual

DR. ROBERT PLUCHINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
242 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-6284
Mailing address
1 EDGEWATER ST, 6TH FL. PAYER RELATIONS, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005564
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02189462
NY
Enumeration date
11/22/2005
Last updated
05/07/2008
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