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Contact Information

ALLA KAPUSTINA
259 1ST ST
MINEOLA, NY11501-3957
 Phone: 516-663-0333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for ALLA KAPUSTINA · (Female)

NPI Number 1356995443
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2019
Last updated 07/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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