Healthcare Provider Details

I. General information

NPI: 1487631982
Provider Name (Legal Business Name): DAVID E. KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PINE WEST PLZ 1A
ALBANY NY
12205
US

IV. Provider business mailing address

7 WINDMILL DR
GLENMONT NY
12077-3626
US

V. Phone/Fax

Practice location:
  • Phone: 518-862-1665
  • Fax: 518-862-1668
Mailing address:
  • Phone: 518-767-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number146564
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: