Provider Demographics
NPI:1275158917
Name:PAPPALARDO, CAPRIANNA M (OTR)
Entity Type:Individual
Prefix:
First Name:CAPRIANNA
Middle Name:M
Last Name:PAPPALARDO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1209
Mailing Address - Country:US
Mailing Address - Phone:516-547-5497
Mailing Address - Fax:
Practice Address - Street 1:37 GARDEN DR
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1209
Practice Address - Country:US
Practice Address - Phone:516-547-5497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024629225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist