Organization
CAPOOR PEDIATRIC NEUROMUSCULAR REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAISHREE CAPOOR MD (PHYSICIAN)
(917) 558-3593
Entity
Organization
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
208100000X
Physical Medicine & Rehabilitation Physician
215693
NY
2081P0004X
Spinal Cord Injury Medicine Physician
215693
NY
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
215693
NY
Other
Enumeration date
02/14/2007
Last updated
08/13/2013
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