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Individual

BRYANT LOUIS KAPLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, CASAC

Contact information

Practice address
936 STEWART AVE, BETHPAGE, NY 11714
(631) 662-5799
Mailing address
936 STEWART AVE, BETHPAGE, NY 11714
(631) 662-5799

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R034666-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2452459
NY
Enumeration date
06/07/2007
Last updated
03/08/2016
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