# CAPOOR PEDIATRIC NEUROMUSCULAR REHABILITATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396887220
- **Authorized official:** DR. JAISHREE CAPOOR MD (PHYSICIAN)
- **Authorized official phone:** (917) 558-3593

## Contact information

- **Practice address:** 94-25 59TH AVENUE, UNIT F7, ELMHURST, NY 11373
- **Practice address phone:** (718) 760-1600
- **Practice address fax:** (718) 760-1634
- **Mailing address:** 404 EAST 66TH STREET, APT 12G, NEW YORK, NY 10021
- **Mailing address phone:** (917) 558-3593
- **Mailing address fax:** (646) 390-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 215693 | NY | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 215693 | NY | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 215693 | NY | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/13/2013