Individual provider · Type 1 NPI

Anna Kapustina, PA

Medical Physician Assistant · Brooklyn, NY

NPI number 1508176801 Active

Practice location

5205 Church Ave
Brooklyn, NY 11203-3513

Fax (718) 688-8089

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013927 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1508176801

Anna Kapustina, PA's National Provider Identifier is 1508176801, issued on Oct 20, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 14, 2023.