Provider Demographics
NPI:1629282967
Name:KLAPPER, STANLEY (DPM)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:KLAPPER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 KAPPOCK ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4612
Mailing Address - Country:US
Mailing Address - Phone:718-543-6727
Mailing Address - Fax:
Practice Address - Street 1:250 W 90TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1100
Practice Address - Country:US
Practice Address - Phone:212-874-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002164213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00413603Medicaid
NYT50673Medicare UPIN
NY00413603Medicaid