Individual
ALICIA CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 659-4000
Mailing address
119 WELLINGTON RD SOUTH, WEST HEMPSTEAD, NY 11552-1031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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