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Organization
MICHAEL B CAPOBIANCO MD
Active
Organization
MICHAEL B CAPOBIANCO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B CAPOBIANCO MD (PHYSICIAN)
(516) 801-0334
Entity
Organization
Contact information
Practice address
3 PARK PLZ STE 1, GLEN HEAD, NY 11545-1857
(516) 801-0334
Mailing address
3 PARK PLZ STE 1, GLEN HEAD, NY 11545-1857
(516) 801-0334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
143830
NY
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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