Healthcare Provider Details

I. General information

NPI: 1295934396
Provider Name (Legal Business Name): RINAT KAPOYA -GELLERI (LEVIN) NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 E 14TH ST APT 3A
BROOKLYN NY
11229-2852
US

IV. Provider business mailing address

1862 E 14TH ST APT 3A
BROOKLYN NY
11229-2852
US

V. Phone/Fax

Practice location:
  • Phone: 917-783-9729
  • Fax:
Mailing address:
  • Phone: 917-783-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberF3044641
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: