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Active NPI 1588832422 Organization (Entity Type 2)

Stuart Plotkin

Prosthetic/Orthotic Supplier • Prt Jeff Sta, NY

About Stuart Plotkin NPI 1588832422 Summary

Stuart Plotkin is a verified healthcare organization specializing in Prosthetic/Orthotic Supplier operating in Prt Jeff Sta, NY. Located at 2 MEDICAL DR, SUITE C, this facility provides patient care and medical services under National Provider Identifier (NPI) 1588832422.

Administrative operations and authorized compliance are overseen by Stuart Plotkin (Owner).

Facility Location & Contact Primary Location

Facility Address

2 Medical Dr
Suite C

Prt Jeff Sta, NY 117761598

Telephone 6319288383

Fax 6319288388

Authorized Official Information

Authorized Contact Name

DR. Stuart Plotkin , DPM

Title / Role

Owner

Official Telephone

6319288383

Facility Classifications & Specialties

Prosthetic/Orthotic Supplier Primary Taxonomy

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 24, 2008

Registered at 2 MEDICAL DR, SUITE C, PRT JEFF STA, NY 117761598 (Tel: 6319288383)

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Updated Business Mailing Address April 24, 2008

Registered at 2 MEDICAL DR, SUITE C, PRT JEFF STA, NY 117761598 (Tel: 6319288383)

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Organization / Clinic Name Updated April 24, 2008

Operating as STUART PLOTKIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Prosthetic/Orthotic Supplier (License #N002970 in NY)

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Initial NPI Registration & Enumeration February 13, 2008

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1588832422

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: February 13, 2008

Last Update: April 24, 2008

Update or Correct Listing

Mailing Address

2 Medical Dr, Suite C

Prt Jeff Sta, NY 117761598

Phone: 6319288383

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.