| NPI | 1699135954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B CAPOBIANCO Physician 516-801-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 143830) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |