Organization
BREWSTER PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC JAMES CAPONE M.S., P.T. (PRESIDENT)
(845) 278-4127
Entity
Organization
Contact information
Practice address
211 CLOCK TOWER COMMONS, BREWSTER, NY 10509-4057
(845) 278-4127
(845) 278-4128
Mailing address
211 CLOCK TOWER COMMONS, BREWSTER, NY 10509-4057
(845) 278-4127
(845) 278-4128
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
008679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144421553
DOMINIC JAMES CAPONE, M.S., P.T.
NY
01
—
1215113139
SUSAN DALLMANN LAMBROS, P.T., M.S.
NY
Enumeration date
07/28/2008
Last updated
07/28/2008
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