Individual
JAISHREE CAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94-25 59TH AVENUE, UNIT F7, ELMHURST, NY 11373
(718) 760-1600
(718) 760-1634
Mailing address
404 EAST 66TH STREET, APT 12G, NEW YORK, NY 10021
(917) 558-3593
(646) 390-3217
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
215693
NY
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
215693
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02230188
—
NY
Enumeration date
06/14/2006
Last updated
08/12/2013
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