Provider Demographics
NPI:1871757914
Name:PLESKOW, HEATHER JILL (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JILL
Last Name:PLESKOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6930 WILLIAMS RD
Mailing Address - Street 2:SUITE 3700
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3096
Mailing Address - Country:US
Mailing Address - Phone:716-298-3541
Mailing Address - Fax:716-298-3543
Practice Address - Street 1:39765 DATE ST # 102
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2005
Practice Address - Country:US
Practice Address - Phone:951-894-4665
Practice Address - Fax:951-894-5178
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2018-12-18
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Provider Licenses
StateLicense IDTaxonomies
NY246011-1207K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology