Provider Demographics
NPI:1073998910
Name:KAPLOVITZ, MIRIAM
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:KAPLOVITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14405 68TH DR
Mailing Address - Street 2:APT 3
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1706
Mailing Address - Country:US
Mailing Address - Phone:347-721-2691
Mailing Address - Fax:
Practice Address - Street 1:14405 68TH DR
Practice Address - Street 2:APT 3
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1706
Practice Address - Country:US
Practice Address - Phone:347-721-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist