Basic Information
| Provider Information | |||||||||
| NPI: | 1912391616 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAPOOR | ||||||||
| FirstName: | NEELAM | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5570 MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142215477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162504137 | ||||||||
| FaxNumber: | 7164423740 | ||||||||
| Practice Location | |||||||||
| Address1: | 5570 MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142215477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162504137 | ||||||||
| FaxNumber: | 7164423740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2015 | ||||||||
| LastUpdateDate: | 03/20/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 004439-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.