Organization · NPI-2

Andrea B. Kaplan, M.D. P.C.

Family Medicine · Glen Cove, NY

NPI number1144364530
StatusActive
Last updated in NPPESMar 17, 2010

Details

NPI
1144364530
Entity type
Organization (NPI-2)
Legal business name
Andrea B. Kaplan, M.D. P.C.
Organization subpart
No
Enumeration date
Feb 18, 2007
Last updated
Mar 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine200525NYYes
207QA0505X Family Medicine, Adult Medicine200525NY

Practice location

10 Medical Plaza
Suite 306
Glen Cove, NY 11542

Phone 516-609-0346 · Fax 516-609-0353

Mailing address

10 Medical Plaza
Suite 306
Glen Cove, NY 11542

Phone 516-609-0346 · Fax 516-609-0353

Authorized official

Andrea B Kaplan
President
5166090346

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