Provider Demographics
NPI:1043621261
Name:PLATE, ANN-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN-MARIE
Middle Name:
Last Name:PLATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 HUMMINGBIRD WAY
Mailing Address - Street 2:BOX 754
Mailing Address - City:LAKE HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:18624-0754
Mailing Address - Country:US
Mailing Address - Phone:917-609-6165
Mailing Address - Fax:917-591-6353
Practice Address - Street 1:271 HUMMINGBIRD WAY
Practice Address - Street 2:BOX 754
Practice Address - City:LAKE HARMONY
Practice Address - State:PA
Practice Address - Zip Code:18624-0754
Practice Address - Country:US
Practice Address - Phone:917-609-6165
Practice Address - Fax:917-591-6353
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198963-1207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY198963-1OtherNYS MEDICAL LICENSE