| NPI | 1669038360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAPOBIANCO President 516-671-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 175L00000X Homeopath |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |