Individual provider · Type 1 NPI

Jenna Mattia Capobianco, MSC, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1124762406 Active

Practice location

80 Dekalb Ave Apt 26C
Brooklyn, NY 11201-5470

Call (240) 285-7361 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124762406

Jenna Mattia Capobianco, MSC, MD's National Provider Identifier is 1124762406, issued on Apr 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 23, 2022.