Provider Demographics
NPI:1538505904
Name:CAPITANI, SARA (LPN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CAPITANI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 E 14TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1169
Mailing Address - Country:US
Mailing Address - Phone:718-375-2300
Mailing Address - Fax:718-513-6322
Practice Address - Street 1:1664 E 14TH ST STE 401
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1169
Practice Address - Country:US
Practice Address - Phone:718-375-2300
Practice Address - Fax:718-513-6322
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286299164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse