Healthcare Provider Details

I. General information

NPI: 1982989109
Provider Name (Legal Business Name): NEIL KAPIL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 BROADWAY
BROOKLYN NY
11221
US

IV. Provider business mailing address

1450 WASHINGTON BLVD APT: 1008S
STAMFORD CT
06902
US

V. Phone/Fax

Practice location:
  • Phone: 347-533-4845
  • Fax: 347-533-4844
Mailing address:
  • Phone: 551-697-7452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number056330
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: