Individual
IDIDA KAPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
935 NORTHERN BLVD, SUITE 204, GREAT NECK, NY 11021-5309
(516) 466-1168
(516) 829-5621
Mailing address
935 NORTHERN BLVD, SUITE 204, GREAT NECK, NY 11021-5309
(516) 466-1168
(516) 829-5621
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
142436
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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