Provider Demographics
NPI:1639234701
Name:KAPLAN-MARDER, NANCY FAITH (OTR)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:FAITH
Last Name:KAPLAN-MARDER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:MARDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:2384 LINDENMERE DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4312
Mailing Address - Country:US
Mailing Address - Phone:516-868-5302
Mailing Address - Fax:516-546-7681
Practice Address - Street 1:2108 MERRICK MALL
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3626
Practice Address - Country:US
Practice Address - Phone:516-868-5302
Practice Address - Fax:516-546-7681
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002788-1225XH1200X, 225XN1300X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ64471Medicare ID - Type UnspecifiedPROVIDER NUMBER