Individual
CRISSA CAPONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 66TH ST, BROOKLYN, NY 11219-5714
(917) 971-0158
Mailing address
1459 66TH ST, BROOKLYN, NY 11219-5714
(917) 971-0158
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
805374131
NY
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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