Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 62029391 | NY |
NPI | 1063658037 |
---|---|
Provider Name | Dr. Mira Kaplan |
First Address | Bronx, NY 10463-1400 |
Second Address | Bronx, NY 10463-1400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 22/12/2008 |