Provider Demographics
NPI:1386960755
Name:KAPLAN, JENNIFER ROBYN
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ROBYN
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 1:3 W LAWRENCE PARK DR UNIT 9
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-3113
Mailing Address - Country:US
Mailing Address - Phone:914-522-1361
Mailing Address - Fax:
Practice Address - Street 1:3 W LAWRENCE PARK DR UNIT 9
Practice Address - Street 2:
Practice Address - City:PIERMONT
Practice Address - State:NY
Practice Address - Zip Code:10968-3113
Practice Address - Country:US
Practice Address - Phone:914-522-1361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY913988991174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist