Most Relevant Information
Provider Data
| NPI Number: | 1003399544 |
| Provider Name: | ALINA KAPUSTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 09/11/2018 |
Provider Practice Location
1000 EDDY ST
PROVIDENCE
RI
029054739
Practice Location Phone/Fax
| Phone: | 4015339100 |
| Fax: | 4015339101 |
Provider Mailing Location
1000 EDDY ST
PROVIDENCE
RI
029054739
Provider Mailing Phone/Fax
| Phone: | 4015339100 |
| Fax: | 4015339101 |