Individual
ALEXIA SOPHIA CAPSUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1100
(718) 470-8060
(574) 406-7533
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1100
(718) 470-8005
(717) 962-7717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
311350
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2018
Last updated
09/20/2022
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