Individual provider · Type 1 NPI

Nicole Kapetanos, RPA-C

Medical Physician Assistant · Bronx, NY

NPI number 1790798320 Active

Practice location

1967 Turnbull Ave
Bronx, NY 10473-2519

Fax (718) 792-4096

Mailing address

5820 230th St
Oakland Gardens, NY 11364-2444

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008268-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1790798320

Nicole Kapetanos, RPA-C's National Provider Identifier is 1790798320, issued on Aug 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.