| Victoria Capobianco D.o. Pllc | |
|
333 Glen Head Rd Ste 202 Glen Head NY 11545-1947 | |
| (516) 672-8115 | |
| Not Available |
| Full Name | Victoria Capobianco D.o. Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 333 Glen Head Rd Ste 202, Glen Head, New York |
| Authorized Official Name and Position | Victoria Capobianco (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5166728115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Capobianco D.o. Pllc 65 Scudders Ln Glen Head NY 11545-1535 Ph: (516) 672-8115 | Victoria Capobianco D.o. Pllc 333 Glen Head Rd Ste 202 Glen Head NY 11545-1947 Ph: (516) 672-8115 |
| NPI Number | 1164202826 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164202826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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