Individual
MISS ALLISON FARAH CAPPONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 556-1616
Mailing address
251 MACE ST, STATEN ISLAND, NY 10306-1405
(718) 608-5650
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
89870414
NY
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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