Individual provider · Type 1 NPI

Jacqueline Lee Capone

Specialist · Watertown, NY

NPI number 1215523121 Active

Practice location

16783 Ives Street Ext
Watertown, NY 13601-5312

Call (315) 788-5377 Map

Mailing address

377 Broadway Ave W
Watertown, NY 13601-4103

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215523121

Jacqueline Lee Capone's National Provider Identifier is 1215523121, issued on Dec 15, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Dec 15, 2020.