| NPI | 1174599765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CAPO Owner / Authorized Official 516-731-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2021-07-16 |