MEDICARE: ROBERT I KAPLAN MD

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
1	207Y00000X	Otolaryngology Physician	147179-1	NY
2	207Y00000X	Otolaryngology Physician	A36484	CA

General Provider Information

NPI Number	:	1508853771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT I KAPLAN MD

Provider Business Mailing Address
First Line	:	62 SOMERSET DR
Second Line	:
City	:	MECHANICVILLE
State	:	NY
Zip	:	12118-3719
Country	:	US
Telephone Number	:	951-906-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 SOMERSET DR
Second Line	:
City	:	MECHANICVILLE
State	:	NY
Zip	:	12118-3719
Country	:	US
Telephone Number	:	951-906-8528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	02/28/2019

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