Individual
DR. ELISE ANNE CACCAPPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
(212) 305-1145
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 761-5166
(212) 305-1145
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691192
—
NY
Enumeration date
07/25/2006
Last updated
12/08/2025
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