Individual
CHRISTINE CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 AIR PARK DR, RONKONKOMA, NY 11779-7360
(631) 580-4001
Mailing address
1 STERLING AVE, PATCHOGUE, NY 11772-1500
(928) 225-1005
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1784924
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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