Individual
CAROLE RANDI CAPPARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3000
Mailing address
118 STETHEM DR, CENTEREACH, NY 11720-4082
(631) 580-2787
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302949-1
NY
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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