Provider Demographics
NPI:1336304930
Name:KAPLAN, PHYLLIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 W 73RD ST
Mailing Address - Street 2:1416
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3104
Mailing Address - Country:US
Mailing Address - Phone:212-982-7281
Mailing Address - Fax:
Practice Address - Street 1:23 W 73RD ST
Practice Address - Street 2:1416
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3104
Practice Address - Country:US
Practice Address - Phone:212-982-7281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1390192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry