Provider Demographics
NPI:1245554013
Name:PLOTKIN, CAROL SZYMCZAK (MS, RD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:SZYMCZAK
Last Name:PLOTKIN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HAGEN DR
Mailing Address - Street 2:200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2660
Mailing Address - Country:US
Mailing Address - Phone:585-770-1045
Mailing Address - Fax:585-385-6071
Practice Address - Street 1:10 HAGEN DR
Practice Address - Street 2:200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2660
Practice Address - Country:US
Practice Address - Phone:585-770-1045
Practice Address - Fax:585-385-6071
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered