Organization
SENIOR HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIGI M CAPOBIANCO M.D. (PRESIDENT)
(516) 759-1776
Entity
Organization
Contact information
Practice address
1 SCHOOL ST, SUITE 203, GLEN COVE, NY 11542-2545
(516) 759-1776
(516) 671-9283
Mailing address
1 SCHOOL ST, SUITE 203, GLEN COVE, NY 11542-2545
(516) 759-1776
(516) 671-9283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
174738
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
174738
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
174738
NY
207R00000X
Internal Medicine Physician
205804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463932
—
NY
Enumeration date
05/12/2009
Last updated
05/12/2009
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