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Organization
PAUL CAPOBIANCO, DO, P.C.
Active
Organization
PAUL CAPOBIANCO, DO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CAPOBIANCO DO (PRESIDENT)
(516) 671-5017
Entity
Organization
Contact information
Practice address
71 WALNUT RD, GLEN COVE, NY 11542-2634
(516) 671-5017
(516) 671-5083
Mailing address
71 WALNUT RD, GLEN COVE, NY 11542-2634
(516) 671-5017
(516) 671-5083
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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