Healthcare Provider Details

I. General information

NPI: 1528069705
Provider Name (Legal Business Name): LEE STEVEN KAPLAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 WELLSVILLE AVE
NEW MILFORD CT
06776-2327
US

IV. Provider business mailing address

328 WELLSVILLE AVE
NEW MILFORD CT
06776-2327
US

V. Phone/Fax

Practice location:
  • Phone: 860-354-4651
  • Fax: 860-354-2056
Mailing address:
  • Phone: 860-354-4651
  • Fax: 860-354-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number166
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: