Individual
IVELISSE JULIANA CAPELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
629 W 185TH ST, NEW YORK, NY 10033-3102
(212) 543-3500
(212) 568-0051
Mailing address
629 W 185TH ST FL 3, NEW YORK, NY 10033-3102
(212) 543-3500
(212) 568-0051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405446-01
NY
Other
Enumeration date
11/26/2021
Last updated
08/20/2025
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