Provider Demographics
NPI:1639419740
Name:KAPADIA, MANSI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MANSI
Middle Name:
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 CENTER BLVD APT 1009
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109-5920
Mailing Address - Country:US
Mailing Address - Phone:917-763-1007
Mailing Address - Fax:
Practice Address - Street 1:40 WALL ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1304
Practice Address - Country:US
Practice Address - Phone:212-742-8454
Practice Address - Fax:212-742-8498
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist