MEDICARE: MR. RONALD B. KAPLAN LCSW

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	1041C0700X	Clinical Social Worker	PR024715	NY

General Provider Information

NPI Number	:	1982781795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD B. KAPLAN LCSW

Provider Business Mailing Address
First Line	:	63 OSBORNE AVE
Second Line	:
City	:	MOUNT SINAI
State	:	NY
Zip	:	11766-3134
Country	:	US
Telephone Number	:	631-331-9777
Fax Number	:	631-331-7690

Provider Business Practice Location Address
First Line	:	63 OSBORNE AVE
Second Line	:
City	:	MOUNT SINAI
State	:	NY
Zip	:	11766-3134
Country	:	US
Telephone Number	:	631-331-9777
Fax Number	:	631-331-7690

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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