Provider Demographics
NPI:1245490036
Name:DLUGOKINSKI-PLENZ, SYLVIA M (ANP)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:M
Last Name:DLUGOKINSKI-PLENZ
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10909 MATTESON CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14080-9310
Mailing Address - Country:US
Mailing Address - Phone:716-592-3586
Mailing Address - Fax:
Practice Address - Street 1:10909 MATTESON CORNERS RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:NY
Practice Address - Zip Code:14080-9310
Practice Address - Country:US
Practice Address - Phone:716-592-3586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304863363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health