| NPI | 1730879354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAMES CAPOBIANCO Physician 516-435-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-02-09 |