Provider Demographics
NPI:1336383314
Name:CAPRARA, ROSEMARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:CAPRARA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:MAFFEI
Other - Last Name:CAPRARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:66 OCEANVIEW PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3100
Mailing Address - Country:US
Mailing Address - Phone:718-605-3286
Mailing Address - Fax:
Practice Address - Street 1:66 OCEANVIEW PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-3100
Practice Address - Country:US
Practice Address - Phone:718-605-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist