Individual
JOHN DAVID CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 LANDING RD, GLEN COVE, NY 11542-2414
(516) 676-5005
Mailing address
21 CLUB RD, SEA CLIFF, NY 11579-2121
(516) 676-5005
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
182685-1
NY
207Q00000X
Family Medicine Physician
Primary
182685-1
NY
208D00000X
General Practice Physician
182685-1
NY
Other
Enumeration date
06/27/2006
Last updated
06/06/2008
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