Healthcare Provider Details

I. General information

NPI: 1801979240
Provider Name (Legal Business Name): CLAUDIA BETH KAPLAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E 60TH ST STE 1401
NEW YORK NY
10022-1320
US

IV. Provider business mailing address

30 E 60TH ST STE 1401
NEW YORK NY
10022-1320
US

V. Phone/Fax

Practice location:
  • Phone: 212-755-5570
  • Fax:
Mailing address:
  • Phone: 212-755-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number33153
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number33153
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: