Provider Demographics
NPI:1952111395
Name:KAPLAN, NICOLE FAYE (ATC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:FAYE
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2505
Mailing Address - Country:US
Mailing Address - Phone:516-659-1364
Mailing Address - Fax:
Practice Address - Street 1:50 AVENUE B
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-2505
Practice Address - Country:US
Practice Address - Phone:516-659-1364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0037732255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer