Provider Demographics
NPI:1023081619
Name:PLOTKIN, SIDNEY Z (MD)
Entity type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:Z
Last Name:PLOTKIN
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:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-0295
Mailing Address - Country:US
Mailing Address - Phone:718-692-1077
Mailing Address - Fax:718-692-1188
Practice Address - Street 1:3131 KINGS HIGHWAY
Practice Address - Street 2:SUITE C8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234
Practice Address - Country:US
Practice Address - Phone:718-692-1077
Practice Address - Fax:718-692-1188
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1483971207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1C0833OtherHEALTHNET
P2485469OtherOXFORD
NY00727431Medicaid
84A971OtherBLUE CROSS
0069122OtherGHI
84A971Medicare ID - Type Unspecified
84A971OtherBLUE CROSS