MEDICARE: DR. PHILIP KAPLAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	047313	NY
2	1835P1200X	Pharmacotherapy Pharmacist	047313	NY

General Provider Information

NPI Number	:	1669795183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP KAPLAN PHARMD

Provider Business Mailing Address
First Line	:	401 E 81ST ST
Second Line	:	2D
City	:	NEW YORK
State	:	NY
Zip	:	10028-5811
Country	:	US
Telephone Number	:	212-861-4003
Fax Number	:	718-680-1962

Provider Business Practice Location Address
First Line	:	5711 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3807
Country	:	US
Telephone Number	:	718-680-1982
Fax Number	:	718-680-1962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	03/11/2010

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