Individual
PAMELA H. CAPISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6101
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02042226
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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