Provider Demographics
NPI:1538363569
Name:KAPLAN, MICHELE A
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:A
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1100
Mailing Address - Country:US
Mailing Address - Phone:347-368-6998
Mailing Address - Fax:347-368-6557
Practice Address - Street 1:2502 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1100
Practice Address - Country:US
Practice Address - Phone:347-368-6998
Practice Address - Fax:347-368-6557
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011104OtherLICENSE NUMBER