Provider Demographics
NPI:1235218355
Name:PLOTYCIA, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:PLOTYCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:205 WEST END AVE
Mailing Address - Street 2:#1P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-724-4430
Mailing Address - Fax:212-724-6938
Practice Address - Street 1:205 WEST END AVE
Practice Address - Street 2:#1P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-724-4430
Practice Address - Fax:212-724-6938
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154825207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1235218355OtherNPI
A63842Medicare UPIN
NY69D742Medicare PIN