Healthcare Provider Details

I. General information

NPI: 1689993792
Provider Name (Legal Business Name): MICHAEL KAPLAN N.P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2010
Last Update Date: 05/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 N MAIN ST
SPRING VALLEY NY
10977-8916
US

IV. Provider business mailing address

728 N MAIN ST
SPRING VALLEY NY
10977-8916
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-9300
  • Fax: 845-354-4298
Mailing address:
  • Phone: 845-354-9300
  • Fax: 845-354-4298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336177-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: