Provider Demographics
NPI:1043477276
Name:DAHLIA PLUMMER MD PC
Entity Type:Organization
Organization Name:DAHLIA PLUMMER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-636-1700
Mailing Address - Street 1:150 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4916
Mailing Address - Country:US
Mailing Address - Phone:914-636-1700
Mailing Address - Fax:
Practice Address - Street 1:150 LOCKWOOD AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4916
Practice Address - Country:US
Practice Address - Phone:914-636-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty