Individual
DR. SCOTT R CAPUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 E MAIN ST, BLDG E, SMITHTOWN, NY 11787-2832
(631) 361-7444
(361) 361-4645
Mailing address
269 E MAIN ST, BLDG E, SMITHTOWN, NY 11787-2832
(631) 361-7444
(361) 361-4645
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
163037
NY
Other
Enumeration date
07/10/2006
Last updated
10/04/2007
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