Individual
CECELIA CAPOZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 NESCONSET HWY BLDG 9, STONY BROOK, NY 11790-2553
(631) 246-6100
Mailing address
202 HOWARD ST, EAST WILLISTON, NY 11596-1420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
09/29/2020
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