Provider Demographics
NPI:1285784942
Name:PLOTKA, ABBY
Entity type:Individual
Prefix:MS
First Name:ABBY
Middle Name:
Last Name:PLOTKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 DEPEW STREET
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3420
Mailing Address - Country:US
Mailing Address - Phone:914-734-1359
Mailing Address - Fax:914-734-1638
Practice Address - Street 1:6 DEPEW STREET
Practice Address - Street 2:WOODSIDE ELEMENTARY SCHOOL
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566
Practice Address - Country:US
Practice Address - Phone:914-734-1359
Practice Address - Fax:914-734-1638
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator