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Individual

DR. EDNA KAPENHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8300
Mailing address
PO BOX 2340, SOUTHAMPTON, NY 11969-2340
(631) 283-2430
(631) 283-5731

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
231215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02595155
NY
Enumeration date
11/23/2005
Last updated
11/21/2018
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