Provider Demographics
NPI:1164079976
Name:KAPLAN, JULIA NATALIE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:NATALIE
Last Name:KAPLAN
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 1:225 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3211
Mailing Address - Country:US
Mailing Address - Phone:516-767-1133
Mailing Address - Fax:516-767-3680
Practice Address - Street 1:225 MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3211
Practice Address - Country:US
Practice Address - Phone:516-767-1133
Practice Address - Fax:516-767-3680
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102087-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health