Provider Demographics
NPI:1487642773
Name:KAPLAN, CRAIG BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:BENNETT
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:335 MOUNT VERNON AVE
Mailing Address - Street 2:HIGHLAND HOSPITAL NEPHROLOGY UNIT
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2736
Mailing Address - Country:US
Mailing Address - Phone:585-341-6895
Mailing Address - Fax:585-341-8401
Practice Address - Street 1:335 MOUNT VERNON AVE
Practice Address - Street 2:HIGHLAND HOSPITAL NEPHROLOGY UNIT
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2736
Practice Address - Country:US
Practice Address - Phone:585-341-6895
Practice Address - Fax:585-341-8401
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY201163207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01643558Medicaid
NY01643558Medicaid
NYC65661Medicare UPIN