Healthcare Provider Details

I. General information

NPI: 1407144694
Provider Name (Legal Business Name): MEL KAPLAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 4TH AVE
GREENPORT NY
11944-1526
US

IV. Provider business mailing address

234 4TH AVE
GREENPORT NY
11944-1526
US

V. Phone/Fax

Practice location:
  • Phone: 631-477-1720
  • Fax: 631-477-8983
Mailing address:
  • Phone: 631-477-1720
  • Fax: 631-477-8983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MEL B. KAPLAN
Title or Position: PRESIDENT
Credential: MD
Phone: 631-477-1720