Provider Demographics
NPI:1477801645
Name:KAPATSINSKAYA, RIMMA (OD)
Entity Type:Individual
Prefix:DR
First Name:RIMMA
Middle Name:
Last Name:KAPATSINSKAYA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 BAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4103
Mailing Address - Country:US
Mailing Address - Phone:718-621-0008
Mailing Address - Fax:718-621-0009
Practice Address - Street 1:8515 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4103
Practice Address - Country:US
Practice Address - Phone:718-621-0008
Practice Address - Fax:718-621-0009
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007913152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist