Provider Demographics
NPI:1447295571
Name:KAPLAN, FREDERICK DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:DAVID
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4929
Mailing Address - Country:US
Mailing Address - Phone:516-937-6620
Mailing Address - Fax:
Practice Address - Street 1:750 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4929
Practice Address - Country:US
Practice Address - Phone:516-937-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153296207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00770489Medicaid
NYAP989OtherOXFORD
NYB20298OtherBLUE CROSS BLUE SHIELD
NYP00084313OtherRAILROAD MEDICARE
NY11065OtherVYTRA
NY95A671Medicare ID - Type Unspecified
NYP00084313OtherRAILROAD MEDICARE