# DR. ANTHONY D CAPOBIANCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972600674
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 162692-1 | NY | Yes |
| 207Q00000X | Family Medicine Physician | 162692-1 | NY | — |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 162692-1 | MEDICAL LICENSE NUMBER | NY |
| 01 | — | 42945 | AMER OSTEOPATHIC ASSOC. \# | — |