Individual
KIMBERLY BROOKE CAPUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-308737-1
NY
Other
Enumeration date
12/05/2018
Last updated
02/27/2019
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