Individual
ALEXA NICOLE CAPUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
222 E MIDDLE COUNTRY RD STE 108105, SMITHTOWN, NY 11787-2871
(631) 706-2800
Mailing address
128 HARRISBURG ST, BAY SHORE, NY 11706-4612
(631) 525-1417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
04/14/2023
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