Most Relevant Information
Provider Data
NPI Number: | 1003554312 |
Provider Name: | LAUREN CAPUA |
Entity Type: | Individual |
Taxonomy Code: | 2355A2700X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 05/25/2022 |
Last Updated: | 05/25/2022 |
Provider Practice Location
50 BROADWAY
NEW YORK
NY
100041607
Practice Location Phone/Fax
Phone: | 9173057700 |
Fax: |
Provider Mailing Location
186 SHIEL AVE
STATEN ISLAND
NY
103094280
Provider Mailing Phone/Fax
Phone: | 9174148499 |
Fax: |