Individual
ERNESTO CAPULONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 MERRICK RD, OCEANSIDE, NY 11572-1404
(516) 255-8200
Mailing address
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING DEPT, OCEANSIDE, NY 11572-1551
(516) 255-8200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
124998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00841378
—
NY
Enumeration date
10/07/2005
Last updated
07/08/2007
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