Provider Demographics
NPI:1275644023
Name:KAPLAN, STEWART (MD)
Entity Type:Individual
Prefix:
First Name:STEWART
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HICKSVILLE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5819
Mailing Address - Country:US
Mailing Address - Phone:516-541-8035
Mailing Address - Fax:516-541-8084
Practice Address - Street 1:20 HICKSVILLE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5819
Practice Address - Country:US
Practice Address - Phone:516-541-8035
Practice Address - Fax:516-541-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136197207K00000X, 207KA0200X, 208000000X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Not Answered207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A62307Medicare UPIN
NY34A582Medicare ID - Type Unspecified
NY34A581Medicare ID - Type Unspecified