Individual
ANNA NICOLE CAPETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 W 21ST ST, NEW YORK, NY 10010-6903
(516) 984-7108
Mailing address
12 SUNVIEW DR, GLEN COVE, NY 11542-1731
(516) 984-7108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115787
NY
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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