Organization
PARK AVENUE MEDICAL ASSOCIATES, P.C.
Active
Organization
PARK AVENUE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHEL KAPLAN M.D. (PARTNER)
(914) 949-1199
Entity
Organization
Contact information
Practice address
3 BARKER AVE, 4TH FLOOR, WHITE PLAINS, NY 10601-1509
(914) 949-1199
(914) 949-1245
Mailing address
3 BARKER AVE, 4TH FLOOR, WHITE PLAINS, NY 10601-1509
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987186
—
NY
01
—
CB9964
RAILROAD MEDICARE
NY
01
—
CG2141
RAILROAD MEDICARE
NY
Enumeration date
05/08/2006
Last updated
03/06/2012
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