Individual
NICOLE LEE CAPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
6 DEER RUN CT, NORTH SALEM, NY 10560-3606
(914) 924-0726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024412
NY
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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