Individual
DOMINIQUE CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 E 34TH ST, NEW YORK, NY 10016-4974
(212) 263-8134
Mailing address
26 W BROADWAY APT 504, LONG BEACH, NY 11561-4062
(516) 695-4915
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309371-01
NY
Other
Enumeration date
10/06/2019
Last updated
11/27/2023
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