Individual
JILLIAN CAPODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
161 FORT WASHINGTON AVE, DEPARTMENT OF UROLOGY, NEW YORK, NY 10032-3729
(212) 305-0114
Mailing address
161 FORT WASHINGTON AVE, DEPARTMENT OF UROLOGY, NEW YORK, NY 10032-3729
(212) 305-0114
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002432
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002432
LICENSE
NY
Enumeration date
03/28/2007
Last updated
07/08/2007
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