Individual
LEAH CAPPELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 RICHMOND AVE, STATEN ISLAND, NY 10312-3410
(718) 948-3232
Mailing address
3611 RICHMOND AVE, STATEN ISLAND, NY 10312-3410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131624228
—
NY
Enumeration date
01/19/2018
Last updated
01/19/2018
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