Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 180243 | NY |
NPI | 1053475384 |
---|---|
Provider Name | Charles Alan Kaplan |
First Address | Monroe Township, NJ 08831-1968 |
Second Address | Astoria, NY 11103-3608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 08/07/2007 |