Organization
CAPONEGRO UROLOGICAL ASSOCIATES MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES CAPONEGRO M.D. (PRESIDENT)
(718) 497-3503
Entity
Organization
Contact information
Practice address
6810 FOREST AVE, RIDGEWOOD, NY 11385-4468
(718) 497-3503
Mailing address
734 FRANKLIN AVE, #231, GARDEN CITY, NY 11530-4525
(516) 326-2235
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
083391-1
NY
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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