Individual
DR. VINAY KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22215 NORTHERN BLVD, STE. LL-B, BAYSIDE, NY 11361-3603
(718) 279-4005
(718) 279-4413
Mailing address
22215 NORTHERN BLVD, STE. LL-B, BAYSIDE, NY 11361-3603
(718) 279-4005
(718) 279-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
160458
NY
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
160458
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
160458
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
160458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082704
GHI HMO
NY
01
—
0078521
GHI PPO
NY
05
—
01124854
—
NY
01
—
0538972022
CIGNA
NY
01
—
12396P
HIP
NY
01
—
168684
ELDERPLAN
NY
01
—
4462972
AETNA
NY
01
—
82704
GHI MEDICARE
NY
01
—
84D751
BC/BS
NY
01
—
DP364
OXFORD
NY
01
—
NZ1792
HEALTHNET
NY
Enumeration date
10/13/2006
Last updated
02/20/2013
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