Individual
MISS NICOLE KAPETANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1967 TURNBULL AVE, BRONX, NY 10473-2519
(718) 792-4425
(718) 792-4096
Mailing address
5820 230TH ST, OAKLAND GARDENS, NY 11364-2444
(718) 224-7600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008268-1
NY
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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