Provider Demographics
NPI:1467546945
Name:PLOTKIN, ALEKSANDR (DPM)
Entity Type:Individual
Prefix:
First Name:ALEKSANDR
Middle Name:
Last Name:PLOTKIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 KINGS HIGHWAY 2 FLOOR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223
Mailing Address - Country:US
Mailing Address - Phone:718-645-0300
Mailing Address - Fax:718-375-5920
Practice Address - Street 1:445 KINGS HIGHWAY 2 FLOOR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223
Practice Address - Country:US
Practice Address - Phone:718-645-0300
Practice Address - Fax:718-375-5920
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0055561213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01956927Medicaid
NYPB0511Medicare ID - Type Unspecified
NY01956927Medicaid