Doctor Name: | MR. JOSEPH P. CAPOBIANCO |
NPI Number: | 1780670646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 9932-1 |
Business Practice Address: | 17660 Union Tpke Suite 195 Fresh Meadows, NY - 113661531 |
Business Phone Number: | 7188209300 |
Business Fax Number: | 7188209382 |
Mailing Address: | 17660 Union Tpke, Suite 195 FRESH MEADOWS |
State: | NY |
Postal Code: | 113661531 |
Phone Number: | 7188209300 |
Fax Number: | 7188209382 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9932-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |