Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 132918 | NY |
NPI | 1134179831 |
---|---|
Provider Name | Jatin Kapadia |
First Address | Hempstead, NY 11550-4540 |
Second Address | Hempstead, NY 11550-4540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D46797 | (02) | NY |