Provider Demographics
NPI:1801891577
Name:PLISKIN, MICHAEL ALAN (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:PLISKIN
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:75 S MIDDLE NECK RD
Mailing Address - Street 2:STE LB
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3486
Mailing Address - Country:US
Mailing Address - Phone:516-487-8107
Mailing Address - Fax:516-487-3016
Practice Address - Street 1:75 S MIDDLE NECK RD
Practice Address - Street 2:STE LB
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3486
Practice Address - Country:US
Practice Address - Phone:516-487-8107
Practice Address - Fax:516-487-3016
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN004904213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery