Provider Demographics
NPI:1699322123
Name:CAPILI, LELENA L (LPN)
Entity type:Individual
Prefix:
First Name:LELENA
Middle Name:L
Last Name:CAPILI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-5368
Mailing Address - Country:US
Mailing Address - Phone:516-225-5787
Mailing Address - Fax:
Practice Address - Street 1:46 3RD ST
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-5368
Practice Address - Country:US
Practice Address - Phone:516-225-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180390164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse