Provider Demographics
NPI:1982405411
Name:PLANKEN INTEGRATIVE WELLNESS, INC.
Entity type:Organization
Organization Name:PLANKEN INTEGRATIVE WELLNESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MACARENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-783-4421
Mailing Address - Street 1:3401 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4343
Mailing Address - Country:US
Mailing Address - Phone:516-783-4421
Mailing Address - Fax:
Practice Address - Street 1:3401 MERRICK RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4343
Practice Address - Country:US
Practice Address - Phone:516-783-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment