Provider Demographics
NPI:1407094303
Name:PLATEK, ESTHER MAE (LICENSED PRACTICAL N)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:MAE
Last Name:PLATEK
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 DEWEY AVENUE
Mailing Address - Street 2:#235
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-4006
Mailing Address - Country:US
Mailing Address - Phone:585-254-2797
Mailing Address - Fax:
Practice Address - Street 1:4702-1 DEWEY AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612
Practice Address - Country:US
Practice Address - Phone:585-254-2797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287121164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse