Individual
DR. CAMILLE J CAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
4446 BROADWAY, NEW YORK, NY 10040-2939
(718) 423-6745
(718) 423-6745
Mailing address
2308A CORPORAL KENNEDY ST, BAYSIDE, NY 11360-1449
(718) 423-6745
(718) 423-6745
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P36571
EMPIRE B/C & B/S
—
01
—
P36572
EMPIRE B/C & B/S
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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