Provider Demographics
NPI:1508403080
Name:PLAINVIEW PODIATRY PLLC
Entity Type:Organization
Organization Name:PLAINVIEW PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALESSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-681-8866
Mailing Address - Street 1:20 CROSSWAYS PARK DR N STE 304
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2007
Mailing Address - Country:US
Mailing Address - Phone:516-681-8666
Mailing Address - Fax:516-226-1213
Practice Address - Street 1:20 CROSSWAYS PARK DR N STE 304
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2007
Practice Address - Country:US
Practice Address - Phone:516-681-8866
Practice Address - Fax:516-226-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty