Provider Demographics
NPI:1053418871
Name:PLUNKETT, ROBERT F JR (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:PLUNKETT
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 E RIDGE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-2473
Mailing Address - Country:US
Mailing Address - Phone:585-544-3759
Mailing Address - Fax:585-544-3884
Practice Address - Street 1:1880 E RIDGE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2473
Practice Address - Country:US
Practice Address - Phone:585-544-3759
Practice Address - Fax:585-544-3884
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008239111N00000X
WACH0034685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherTAX ID
NYBB1450Medicare ID - Type UnspecifiedMEDICARE PROVIDER