Provider Demographics
NPI:1528140290
Name:KAPLAN, STEPHEN (LAC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2653
Mailing Address - Country:US
Mailing Address - Phone:212-751-2175
Mailing Address - Fax:
Practice Address - Street 1:177 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2653
Practice Address - Country:US
Practice Address - Phone:212-751-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY875-1171100000X
NJ25MZ00059400171100000X
NY875171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist