Healthcare Provider Details

I. General information

NPI: 1770677270
Provider Name (Legal Business Name): HAROLD SEYMORE KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BOX 10 77
NEW YORK NY
10029-6574
US

IV. Provider business mailing address

72 QUAIL CLOSE
IRVINGTON NY
10533
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8395
  • Fax: 212-423-2998
Mailing address:
  • Phone: 914-478-7049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number92064-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number92064-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: