Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 033002 | NY |
Y | 213ES0000X | Sports Medicine | 033002 | NY |
NPI | 1538476254 |
---|---|
Provider Name | Dr. Jessica L Plumley |
First Address | Hudson, NY 12534-3815 |
Second Address | Hudson, NY 12534-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2010 |
Last Update Date | 01/09/2010 |