Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 103703-1 | NY |
Y | 111NI0900X | Internist | 103703-1 | NY |
NPI | 1003036104 |
---|---|
Provider Name | Stephen Norman Kapelner |
First Address | Belle Harbor, NY 11694 |
Second Address | Belle Harbor, NY 11694 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00271090 | (05) | NY |
C08625 | (02) |