Jennifer Nicodemo-capra (NPI# 1609922145, PAC ID# 7517125164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1609922145 |
| PAC ID by PECOS | 7517125164 |
| Professional Enrollment ID | I20120228000700 |
| Full Name | Jennifer Nicodemo-capra |
| Address |
2 Walton Way Lighthouse Physical Pt PC Coram NY 11727-1001 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 Walton Way, Lighthouse Physical Pt PC, Coram, NY 11727-1001 |
| Street Address |
2 WALTON WAY LIGHTHOUSE PHYSICAL PT PC |
| City | CORAM |
| State | NY |
| Zip | 11727-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Anderson | Clinical Psychologist | 4 Walnut St, Coram, NY 11727-1453 | |
| Irene S Margolis | Clinical Social Worker | 13 Potomac Ct, Coram, NY 11727-1661 | |
| Lawrence Beck | Chiropractic | 999 Old Town Rd, Coram, NY 11727-1853 | |
| Aytac A Edwards | Clinical Social Worker | 1 Lake Placid Ct, Coram, NY 11727-2022 | |
| Howard Weinberg | Optometry | 1850 Route 112, Suite L, Coram, NY 11727-2232 | |
| Don J Moore Jr. | Chiropractic | 1970 Route 112, Suite 6, Coram, NY 11727-2300 | |
| Robert B Marder | Physical Therapy | 1844 Route 112, Suite A, Coram, NY 11727-2337 | |
| Robin B Moeller | Clinical Social Worker | Dawn Friedland-perez Lcsw,pc | 1844 Route 112, Suite A, Coram, NY 11727-2337 |
| Howard J Riesel | Clinical Social Worker | 1 Barone Dr, Coram, NY 11727-3082 | |
| Glenn Michael Gibson | Chiropractic | 165 Pauls Path, Coram, NY 11727-3323 | |
| Find all physicians in zip 11727 | |||
| City | CORAM |
| Zip Code | 11727 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CORAM + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jennifer Nicodemo-capra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.