Individual
LISA DECAPRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WORDEN RD, SCOTIA, NY 12302-3409
(518) 346-0469
Mailing address
9 CORTLAND DR, CHARLTON, NY 12019-2645
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
687262
NY
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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