Provider Demographics
NPI:1205603933
Name:CAPPI, SUSAN RUE (ANA CERTIFIED NURSE)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:RUE
Last Name:CAPPI
Suffix:
Gender:F
Credentials:ANA CERTIFIED NURSE
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:RUE
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANA CERTIFIED NURSE
Mailing Address - Street 1:90 HUDSON ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-588-1314
Mailing Address - Fax:
Practice Address - Street 1:59 EAST 54 ST. SUITE 84
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-9205
Practice Address - Country:US
Practice Address - Phone:212-588-1314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical