Provider Demographics
NPI:1841298593
Name:KAPLAN, MICHAEL S (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 E MAIN ST
Mailing Address - Street 2:BOX 9
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2830
Mailing Address - Country:US
Mailing Address - Phone:631-366-2333
Mailing Address - Fax:631-366-1211
Practice Address - Street 1:329 E MAIN ST
Practice Address - Street 2:BOX 9
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2830
Practice Address - Country:US
Practice Address - Phone:631-366-2333
Practice Address - Fax:631-366-1211
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208149207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01916605Medicaid
NYG88192Medicare UPIN
NY011AR1Medicare PIN