Individual provider · NPI-1

Dr. Anthony D Capobianco, M.D.

Neuromusculoskeletal Medicine & OMM · Glen Cove, NY

NPI number1972600674
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1972600674
Entity type
Individual (NPI-1)
Name
Dr. Anthony D Capobianco
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 17, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204D00000X Neuromusculoskeletal Medicine & OMM162692-1NYYes
207Q00000X Family Medicine162692-1NY

Practice location

20 Landing Rd
Glen Cove, NY 11542-2414

Phone 516-671-5076 · Fax 516-671-5084

Mailing address

20 Landing Rd
Glen Cove, NY 11542-2414

Phone 516-671-5076 · Fax 516-671-5084

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