Provider Demographics
NPI:1346559622
Name:B. KAPILA, P.C.
Entity Type:Organization
Organization Name:B. KAPILA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPILA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-338-1825
Mailing Address - Street 1:PO BOX 3600
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12402-3600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 HURLEY AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3739
Practice Address - Country:US
Practice Address - Phone:845-338-1825
Practice Address - Fax:845-338-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty