ALLA KAPUSTINA

MINEOLA, NY
NPI1356995443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-07-28
Last Update Date2019-07-29
Business Address
ALLA KAPUSTINA
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
Mailing Address
ALLA KAPUSTINA
144 BAISLEY AVE
EAST ROCKAWAY, NY 11518-1824
Phone number: