Individual
ANNA KAPUSTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 688-8000
(718) 688-8089
Mailing address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 688-8000
(718) 688-8089
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013927
NY
Other
Enumeration date
10/20/2010
Last updated
04/14/2023
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