Provider Demographics
NPI:1669002283
Name:ROBERT I KAPLAN MD PLLC
Entity Type:Organization
Organization Name:ROBERT I KAPLAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-600-3200
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-0363
Mailing Address - Country:US
Mailing Address - Phone:518-600-3200
Mailing Address - Fax:518-288-0003
Practice Address - Street 1:1524 ROUTE 9 STE 2
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-8646
Practice Address - Country:US
Practice Address - Phone:518-600-3200
Practice Address - Fax:518-288-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05603278Medicaid