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DR. ELISE ANNE CACCAPPOLO PHD.

Clinical Neuropsychologist

New York, New York

Provider NPI: 1942223946

Provider Information:
DR. ELISE ANNE CACCAPPOLO PHD.
Gender: F
Not Sole Proprietor

Practice Location:
710 W 168TH ST  NEW YORK, NY 10032 US
Tel: 646-426-3876  Fax: 212-305-1145

Business Mailing Address:
710 W 168TH ST  NEW YORK, NY 10032 US
Tel: 646-426-3876  Fax: 212-305-1145

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY014270

Other Provider Identifiers:

IssuerNumberStateType
02691192NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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