| NPI | 1164202826 |
|---|---|
| Former Legal Business Name | VICTORIA CAPOBIANCO D.O. |
| Entity Type | Organization |
| Authorized Contact | VICTORIA CAPOBIANCO Owner/Physician 516-672-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |