Provider Demographics
NPI:1679510119
Name:PLAWES, SIDNEY (MD)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:
Last Name:PLAWES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 KIMBALL STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5139
Mailing Address - Country:US
Mailing Address - Phone:718-692-2700
Mailing Address - Fax:347-274-0676
Practice Address - Street 1:2270 KIMBALL STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5139
Practice Address - Country:US
Practice Address - Phone:718-692-2700
Practice Address - Fax:347-274-0676
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1589621207RI0011X
NY158962207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A61023Medicare UPIN