Provider Demographics
NPI:1215198312
Name:KAPLOVITZ, SHIRA (CPNP, RN)
Entity Type:Individual
Prefix:
First Name:SHIRA
Middle Name:
Last Name:KAPLOVITZ
Suffix:
Gender:F
Credentials:CPNP, RN
Other - Prefix:
Other - First Name:SHIRA
Other - Middle Name:
Other - Last Name:SELEVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP, RN
Mailing Address - Street 1:1323 45TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:913 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4707
Practice Address - Country:US
Practice Address - Phone:718-859-8391
Practice Address - Fax:718-859-8394
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY574895-1163W00000X
NYF381951-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse