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Individual

ELLIE CAPRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
304 PARK AVE S, NEW YORK, NY 10010-4301
(212) 213-6155
Mailing address
46 CAMBRIDGE AVE, GARDEN CITY, NY 11530-5125
(516) 376-3374

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009938
NY

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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