Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 043371 | NY |
NPI | 1043428725 |
---|---|
Provider Name | Dr. Neil Joseph Capolongo |
First Address | Mount Kisco, NY 10549-2720 |
Second Address | Mount Kisco, NY 10549-2720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |