Provider Demographics
NPI:1033315775
Name:KAPLINSKY, DIANA (DO)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:KAPLINSKY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:POTSILUIYKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:55 WATER ST
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:640 HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:LAKE RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-2324
Practice Address - Country:US
Practice Address - Phone:631-737-0100
Practice Address - Fax:631-471-1117
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02891990Medicaid
NYA400160892Medicare PIN