Provider Demographics
NPI:1811215809
Name:PLANDIAN MEDICAL PC
Entity Type:Organization
Organization Name:PLANDIAN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:PLEENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-783-0256
Mailing Address - Street 1:PO BOX 802
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-0802
Mailing Address - Country:US
Mailing Address - Phone:516-783-0256
Mailing Address - Fax:
Practice Address - Street 1:1836 BELLMORE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5574
Practice Address - Country:US
Practice Address - Phone:516-783-0256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service