Individual
ANTHONY CAPPADORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
57190 MAIN RD, SOUTHOLD, NY 11971-4750
(631) 626-1006
Mailing address
161 MARILYNN ST, EAST ISLIP, NY 11730-3311
(631) 521-4382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017895
NY
Other
Enumeration date
08/28/2014
Last updated
08/11/2021
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