Individual
BONNIE CAPPIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4590 COUNTY ROAD 5, STANLEY, NY 14561-9561
(585) 526-5963
Mailing address
4590 COUNTY ROAD 5, STANLEY, NY 14561-9561
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
027804
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2020
Last updated
08/22/2022
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