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NPI Code Detail

MEDICARE: EVELYN DANIELA CAPELLAN DURANTE MD

MEDICARE: EVELYN DANIELA CAPELLAN DURANTE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780357087
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN DANIELA CAPELLAN DURANTE MD
Provider Business Mailing Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-9892
Fax Number : 718-920-9036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2021
Last Update Date : 05/05/2026

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Directions to “ EVELYN DANIELA CAPELLAN DURANTE MD” Practice Location

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