Provider Demographics
NPI:1790772523
Name:KAPLAN, JOSEPH (LRT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 HOLDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5432
Mailing Address - Country:US
Mailing Address - Phone:718-948-5344
Mailing Address - Fax:718-948-2654
Practice Address - Street 1:286 HOLDRIDGE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5432
Practice Address - Country:US
Practice Address - Phone:718-948-5344
Practice Address - Fax:718-948-2654
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS641810247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist