Provider Demographics
NPI:1780879106
Name:WARREN APPLEMAN MD PLLC
Entity type:Organization
Organization Name:WARREN APPLEMAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-288-5757
Mailing Address - Street 1:66 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0244
Mailing Address - Country:US
Mailing Address - Phone:212-288-5757
Mailing Address - Fax:212-249-7630
Practice Address - Street 1:66 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0244
Practice Address - Country:US
Practice Address - Phone:212-288-5757
Practice Address - Fax:212-249-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114092207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
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NY114092OtherHIP
NY114092-A20OtherHEALTHFIRST
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NY391845OtherHIP
NY00352612Medicaid
NY63730OtherGHI MC CHOICE
NYA97120Medicare UPIN