Individual
DR. ANTHONY CAPPELLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 FLEETS POINT DR STE 1, WEST BABYLON, NY 11704-8314
(631) 689-6698
(631) 751-5548
Mailing address
60 FLEETS POINT DR STE 1, WEST BABYLON, NY 11704-8314
(631) 689-6698
(631) 751-5548
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
211624
NY
207X00000X
Orthopaedic Surgery Physician
Primary
211624
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
211624
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200657574
TAX IDENTIFICATION
NY
01
—
211624
NYS LICENSE #
NY
Enumeration date
08/29/2006
Last updated
03/18/2019
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