Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 215067 | NY |
N | 2084N0402X | Child Neurologist | 215067-1 | NY |
NPI | 1043224009 |
---|---|
Provider Name | Dr. Joshua Cappell |
First Address | Teaneck, NJ 07666-3009 |
Second Address | New York, NY 10032-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02621709 | (05) | NY |
I25059 | (02) | NY |