Individual
EZIAH PAUL CAPELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 8TH AVE, NEW YORK, NY 10018-3011
(877) 611-5027
Mailing address
3521 81ST ST, JACKSON HEIGHTS, NY 11372-5012
(000) 000-0718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024754
NY
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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