Provider Demographics
NPI:1316072069
Name:CAPPELLO, FELICE MARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:FELICE
Middle Name:MARIE
Last Name:CAPPELLO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ALLEN PL
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4501
Mailing Address - Country:US
Mailing Address - Phone:914-356-2866
Mailing Address - Fax:
Practice Address - Street 1:500 EXECUTIVE BLVD
Practice Address - Street 2:AHG OF NY
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-1234
Practice Address - Country:US
Practice Address - Phone:914-356-2966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist