Provider Demographics
NPI:1457051815
Name:CAPELLAN, YONAVEL D
Entity Type:Individual
Prefix:
First Name:YONAVEL
Middle Name:D
Last Name:CAPELLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 WADSWORTH AVE APT 5Q
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2509
Mailing Address - Country:US
Mailing Address - Phone:917-902-9375
Mailing Address - Fax:
Practice Address - Street 1:247 WADSWORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2505
Practice Address - Country:US
Practice Address - Phone:917-902-9375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00031000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health