Individual
ANDREW ROBERT CACCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 W JERICHO TPKE, SMITHTOWN, NY 11787-3225
(631) 864-6008
Mailing address
1041 W JERICHO TPKE, SMITHTOWN, NY 11787-3225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047782
NY
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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