Individual
CHINNY KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310340
NY
Other
Enumeration date
03/26/2018
Last updated
08/16/2021
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