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NPI Code Detail

MEDICARE: JULIENNE CAPRIA MD

MEDICARE: JULIENNE CAPRIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry Physician307969NY

General Provider Information

NPI Number : 1205332277
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIENNE CAPRIA MD
Provider Business Mailing Address
First Line : 110 W 6TH ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-2507
Country : US
Telephone Number : 315-349-5511
Fax Number : 315-349-5785
Provider Business Practice Location Address
First Line : 29 E CAYUGA ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-1241
Country : US
Telephone Number : 315-464-3165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 09/28/2022

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