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General NPI Number Information
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NPI Number | 1467552364
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Entity Type | Individual
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Provider Name | TERESITA CAPOZZI MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 SANITORIUM RD BLDG F-ROOM 240
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City | POMONA
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State | NY
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Zip | 10970-3555
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Country | US
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Telephone | 845-364-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 204 MYRTLE AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2323
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Country | US
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Telephone | 914-769-3720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 136705
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License Number State | NY
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