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Anna Nicole Capetola

Social Worker in New York, NY. Individual provider (NPI-1).

NPI number1407567167
StatusActive
Last updated in NPPESDec 13, 2022

Details

NPI
1407567167
Entity type
Individual (NPI-1)
Name
Anna Nicole Capetola
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 13, 2022
Certification date
Dec 13, 2022
Last updated
Dec 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker115787NYYes

Practice location

18 W 21st St
New York, NY 10010-6903

Phone 516-984-7108

Mailing address

12 Sunview Dr
Glen Cove, NY 11542-1731

Phone 516-984-7108

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