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Individual

DR. BARDEV KAPILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
40 HURLEY AVE, STE 15, KINGSTON, NY 12401
(845) 338-1825
(845) 338-5114
Mailing address
40 HURLEY AVE STE 15, PO BOX 3600, KINGSTON, NY 12402
(845) 338-1825
(845) 338-5114

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1074831
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00554687
NY
01
047001
MVP
NY
01
528065
AETNA
NY
Enumeration date
07/25/2006
Last updated
09/17/2014
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