Provider Demographics
NPI:1861518516
Name:KAPLAN, JOEL HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:HOWARD
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:999 CENTRAL AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1205
Mailing Address - Country:US
Mailing Address - Phone:516-374-4343
Mailing Address - Fax:516-374-4436
Practice Address - Street 1:999 CENTRAL AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1205
Practice Address - Country:US
Practice Address - Phone:516-374-4343
Practice Address - Fax:516-374-4436
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0922352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00148494Medicaid
NYB78144Medicare UPIN
NY00148494Medicaid