Jessica Therese Capone, M.S.ED.

NPI #1063650349 in Miller Place, New York

Provider Information

NPI Number: 1063650349
Entity Type: Individual
Name: Jessica Therese Capone, M.S.ED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: M.S.ED.
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 34 WOODLAND RD
City: Miller Place
State: New York
ZIP Code: 11764-1943
Phone: (631) 828-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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