Individual
DR. ANTHONY D CAPOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 LANDING RD, GLEN COVE, NY 11542-2414
(516) 671-5076
(516) 671-5084
Mailing address
20 LANDING RD, GLEN COVE, NY 11542-2414
(516) 671-5076
(516) 671-5084
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
162692-1
NY
207Q00000X
Family Medicine Physician
162692-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162692-1
MEDICAL LICENSE NUMBER
NY
01
—
42945
AMER OSTEOPATHIC ASSOC. #
—
Enumeration date
09/17/2006
Last updated
03/07/2023
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