Individual
DR. KENNETH MICHAEL CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6101 81ST ST, MIDDLE VILLAGE, NY 11379-1403
(718) 429-6941
(718) 429-6941
Mailing address
6101 81ST ST, MIDDLE VILLAGE, NY 11379-1403
(718) 429-6941
(718) 429-6941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032335
NY
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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