Individual
ESTEBAN CAPELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 HOLLAND AVE, BRONX, NY 10462-3953
(347) 391-0707
Mailing address
1700 HOLLAND AVE, BRONX, NY 10462-3953
(347) 391-0707
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06158281
—
NY
Enumeration date
02/26/2021
Last updated
02/26/2021
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