Capoccia, Krystyna Halina

Capoccia, Krystyna Halina is an sole proprietor health care provider with primary practice located at 18 Kimber Ct , East Northport NY 11731-1331. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Capoccia, Krystyna Halina can be contacted via phone (631) 757-9131.

Contact Information

Primary practice address
18 Kimber Ct East Northport NY 11731-1331
Phone: (631) 757-9131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 510010-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F336253 New York

Profile Details

NPI number 1386888022
LBN Legal business name Capoccia, Krystyna Halina
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2009
Last updated Jan 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386888022 NPPES
New York MEDICAID 02384572

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