Provider Demographics
NPI:1356525711
Name:DR. CHARLES KAPLAN & DENNIS LE BLANC
Entity type:Organization
Organization Name:DR. CHARLES KAPLAN & DENNIS LE BLANC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-663-3668
Mailing Address - Street 1:220 W 98TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5661
Mailing Address - Country:US
Mailing Address - Phone:212-663-3668
Mailing Address - Fax:212-663-3995
Practice Address - Street 1:220 W 98TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5661
Practice Address - Country:US
Practice Address - Phone:212-663-3668
Practice Address - Fax:212-663-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0575420004Medicare NSC