Individual
DR. CARMINE THOMAS CAPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6 MEADOW RIDGE CT, WOODBURY, NY 11797
(516) 367-1016
Mailing address
6 MEADOW RIDGE CT, WOODBURY, NY 11797
(516) 367-1016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0038121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00391424
—
NY
Enumeration date
10/16/2006
Last updated
07/09/2007
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