Jennifer Nicodemo-Capra in Coram - Physical Therapist

Jennifer Nicodemo-Capra - NPI 1609922145

Jennifer Nicodemo-Capra is a Physical Therapist in Coram, New York. Jennifer Nicodemo-Capra practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jennifer Nicodemo-Capra is 1609922145. The last update date is 2022-07-21.

Jennifer Nicodemo-Capra's current location address is 2 Walton Way, Coram, New York. You can contact this provider via phone number 6314407678 and fax number 6313310320. The mailing address for Jennifer Nicodemo-Capra is 2 Walton Way, Coram, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Nicodemo-Capra
Address 2 Walton Way, Coram, New York
Phone Number 6314407678
Fax Number 6313310320
Sole Proprietor Y
Credentials M.A., P.T.

NPI Number Detail

NPI Number 1609922145
Provider Enumeration Date 2007-01-26
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 2 Walton Way
City Coram
State New York (NY)
Post Code 117271001
Phone Number 6314407678
Fax Number 6313310320

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 015513-1
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2486193 NY --
A100063588 NY MEDICARE GROUP

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FAQs about Jennifer Nicodemo-Capra

What is the unique identifier code issued to Jennifer Nicodemo-Capra by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Nicodemo-Capra has been assigned the NPI (National Provider Identifier) 1609922145. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jennifer Nicodemo-Capra?

The Jennifer Nicodemo-Capra is physically situated at 2 Walton Way, in the city of Coram, state of NY, with the postal code 117271001.

What is Jennifer Nicodemo-Capra's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer Nicodemo-Capra is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.

On what date did the Jennifer Nicodemo-Capra receive its 1609922145 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Nicodemo-Capra was assigned its 1609922145 by the Centers for Medicare & Medicaid Services on 2007-01-26.

When was the information pertaining to Jennifer Nicodemo-Capra most recently updated or revised?

The details related to Jennifer Nicodemo-Capra, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.

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