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NPI Code Detail

MEDICARE: SHIRA KAPLOVITZ CPNP, RN

MEDICARE: SHIRA KAPLOVITZ CPNP, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse574895-1NY
2363LP0200XPediatric Nurse PractitionerF381951-1NY

General Provider Information

NPI Number : 1215198312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRA KAPLOVITZ CPNP, RN
Provider Business Mailing Address
First Line : 1323 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 913 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4707
Country : US
Telephone Number : 718-859-8391
Fax Number : 718-859-8394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 02/11/2011

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