Individual
DR. LORETO CAPOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6 ADMIRAL RD, MASSAPEQUA, NY 11758
(516) 541-1360
(516) 882-2133
Mailing address
6 ADMIRAL RD, MASSAPEQUA, NY 11758-7814
(516) 541-1360
(516) 882-2133
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787311
—
NY
01
—
SC002679L
PA LICENSE NUMBER
PA
Enumeration date
09/11/2006
Last updated
06/14/2019
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