Individual
DR. MARK A CAPODANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6 WAINER CT, CENTERPORT, NY 11721-1523
(631) 757-8406
Mailing address
6 WAINER CT, CENTERPORT, NY 11721-1523
(631) 757-8406
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
006373
NY
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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