Provider Demographics
NPI:1760709448
Name:CAPIZZANO, YOLANDA (DPT)
Entity Type:Individual
Prefix:MISS
First Name:YOLANDA
Middle Name:
Last Name:CAPIZZANO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 GARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2351
Mailing Address - Country:US
Mailing Address - Phone:718-230-1180
Mailing Address - Fax:718-230-1199
Practice Address - Street 1:670 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6316
Practice Address - Country:US
Practice Address - Phone:718-369-3560
Practice Address - Fax:718-369-2537
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400060058Medicare UPIN