| 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 | 2023-05-08 |