Healthcare Provider Details

I. General information

NPI: 1902860018
Provider Name (Legal Business Name): ARTHUR J KAPLAN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36B MAIN ST
PORT WASHINGTON NY
11050-2919
US

IV. Provider business mailing address

36B MAIN ST
PORT WASHINGTON NY
11050-2919
US

V. Phone/Fax

Practice location:
  • Phone: 516-883-8313
  • Fax: 516-883-8321
Mailing address:
  • Phone: 516-883-8313
  • Fax: 516-883-8321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberN003656
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberN003656
License Number StateNY

VIII. Authorized Official

Name: ARTHUR J KAPLAN
Title or Position: OWNER
Credential: DPM PC
Phone: 516-883-8313