Organization
SCOTT R. CAPUSTIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R CAPUSTIN MD (OWNER)
(631) 361-7444
Entity
Organization
Contact information
Practice address
269 E MAIN ST, BLDG E, SMITHTOWN, NY 11787-2832
(631) 361-7444
(631) 361-4645
Mailing address
269 E MAIN ST, BLDG E, SMITHTOWN, NY 11787-2832
(631) 361-7444
(631) 361-4645
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
09/20/2007
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