Individual
ILANA STACEY CAPOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
40 WASHINGTON AVE, DUMONT, NJ 07628-3697
(201) 387-7055
Mailing address
10 ECHO HILL RD, MONTVALE, NJ 07645-2407
(201) 694-4967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00823300
NJ
Other
Enumeration date
05/15/2018
Last updated
07/26/2022
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