Provider Demographics
NPI:1871918268
Name:MARIA CAPUZZI
Entity type:Organization
Organization Name:MARIA CAPUZZI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:646-285-2967
Mailing Address - Street 1:13222 89TH ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2027
Mailing Address - Country:US
Mailing Address - Phone:718-323-2044
Mailing Address - Fax:
Practice Address - Street 1:6725 51ST RD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-7505
Practice Address - Country:US
Practice Address - Phone:718-446-2120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY554837-1261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health