Capone, Carmine Thomas

Capone, Carmine Thomas is an individual health care provider with primary practice located at 6 Meadow Ridge Ct , Woodbury NY 11797. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Capone, Carmine Thomas can be contacted via phone (516) 367-1016.

Contact Information

Primary practice address
6 Meadow Ridge Ct Woodbury NY 11797
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0038121 New York

Profile Details

NPI number 1609966852
LBN Legal business name Capone, Carmine Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 2007 - about 18 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 1609966852 NPPES
New York MEDICAID 00391424

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