Individual
CARISSA CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PAULINE DR, FARMINGDALE, NY 11735-5422
(516) 652-3394
Mailing address
1 PAULINE DR, FARMINGDALE, NY 11735-5422
(516) 652-3394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/12/2025
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