Provider Demographics
NPI:1669795183
Name:KAPLAN, PHILIP (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RAPHAEL
Other - Middle Name:
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:401 E 81ST ST
Mailing Address - Street 2:2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5811
Mailing Address - Country:US
Mailing Address - Phone:212-861-4003
Mailing Address - Fax:718-680-1962
Practice Address - Street 1:5711 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3807
Practice Address - Country:US
Practice Address - Phone:718-680-1982
Practice Address - Fax:718-680-1962
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047313183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy