Doctor Name: | JENNIFER NICODEMO-CAPRA |
NPI Number: | 1609922145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., P.T. |
License Number: | 015513-1 |
Business Practice Address: | 2 Walton Way Coram, NY - 117271001 |
Business Phone Number: | 5168084230 |
Business Fax Number: | 6313310320 |
Mailing Address: | 2 Walton Way, CORAM |
State: | NY |
Postal Code: | 117271001 |
Phone Number: | 5168084230 |
Fax Number: | 6313310320 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 015513-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |