Nicole Kapetanos, RPA-C
Physician Assistant, Medical in Bronx, NY. Individual provider (NPI-1).
NPI number1790798320
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790798320
- Entity type
- Individual (NPI-1)
- Name
- Miss Nicole Kapetanos
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 008268-1 | NY | Yes |
Practice location
1967 Turnbull AveBronx, NY 10473-2519
Phone 718-792-4425 · Fax 718-792-4096
Mailing address
5820 230th StOakland Gardens, NY 11364-2444
Phone 718-224-7600
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