Provider Demographics
NPI:1033416599
Name:CAPOZZI JONES, CANDI LEE (ANP)
Entity Type:Individual
Prefix:DR
First Name:CANDI
Middle Name:LEE
Last Name:CAPOZZI JONES
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:UNIT 1-9200 BMSU
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-276-3700
Mailing Address - Fax:585-276-2407
Practice Address - Street 1:1350 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1682
Practice Address - Country:US
Practice Address - Phone:585-287-5622
Practice Address - Fax:585-287-5628
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305400-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health